Dr. Ted Sugimoto , MD
Surgery โข Saint Joseph, MI
3950 Hollywood Rd, Suite 100
Saint Joseph, MI 490859159
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 31, 2006; this date does not establish years in practice.
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Published CMS data list 650 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 99213 โ Established patient outpatient office visit: 114 service units.
- 15275 โ Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less: 112 service units.
- 99214 โ Established patient outpatient office visit: 91 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See all 13 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 75 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019. Published rows only; this is not a quality measure.
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Published Part D records, 2019:
- Doxycycline Hyclate โ 17 prescription fills, including refills.
- Ciprofloxacin Hcl โ 17 prescription fills, including refills.
- Doxycycline Monohydrate โ 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table ยท Guide: How to read Medicare Part D prescriber data
Practice Location & Contact Primary Location
3950 Hollywood Rd
Suite 100
Saint Joseph, MI 490859159
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $50,305 in 2019
The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019.
Paid by Medicare
About $40,249 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019.
30-day fills
77 standardized 30-day fills in 2019
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$5,585 in 2019
The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2019.
Open Payments general payments, program year 2020
All general payments: $97.45 across 2 records.
By nature of payment
- Food and Beverage: $97.45 across 2 records.
Reporting-company totals
- ORGANOGENESIS INC.: $97.45 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2020 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Saint Joseph and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Sugimoto are from 2019.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Sugimoto are from 2019.
16 active clinicians are listed under Surgery with a practice address in Saint Joseph, MI (1,378 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Saint Joseph
6.2% of these 16 clinicians have the CMS telehealth indicator.
75% of these 16 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2019 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2019 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2019 only.
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2019 only.
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30-day fills
CMS data for 30-day fills are available for 2019 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2019 only.
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $187.91 in 2019 to $97.45 in 2020.
- 2019: $187.91
- 2020: $97.45
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2019), CMS Open Payments (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2020 (payments made January 1 โ December 31, 2020): fewer than 11 records totaling $97.45.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ORGANOGENESIS INC. |
Food and Beverage
Cash or cash equivalent
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Puraply | General | $77.68 |
| ORGANOGENESIS INC. |
Food and Beverage
Cash or cash equivalent
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Puraply | General | $19.77 |
Source: CMS Open Payments, program year 2020, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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114 | 67 | $145.27 | $50.14 |
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15275
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less
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112 | 22 | $401.46 | $95.05 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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91 | 46 | $222.34 | $76.26 |
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11042
Removal of skin and tissue, 20.0 sq cm or less
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90 | 46 | $308.50 | $61.34 |
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15271
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
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74 | 30 | $377.03 | $84.82 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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45 | 33 | $87.71 | $25.25 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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25 | 25 | $330.28 | $127.71 |
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99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
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24 | 16 | $50.17 | $9.12 |
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15002
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less
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17 | 17 | $924.53 | $225.96 |
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15004
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
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17 | 16 | $1080.06 | $257.89 |
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97597
Removal of tissue from wound, 20.0 sq cm or less
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16 | 15 | $191.94 | $23.95 |
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11055
Removal of noncancer thickened skin growth, 1 growth
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14 | 13 | $125.57 | $15.47 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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11 | 11 | $431.18 | $166.63 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Doxycycline Hyclate | Doxycycline Hyclate | 17 | 207 | $306.53 | 13 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 17 | 188 | $126.47 | 12 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 16 | 160 | $263.34 | 12 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | 42 | $52.89 | โ |
| Santyl | Collagenase Clostridium Hist. | 11 | 309 | $4,835.64 | โ |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner
Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Surgery (license number reported to NPPES: MI 4301041051)
NPI status registered as active in NPPES database
Registered at 3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 490859159 (Tel: 2694290900)
Registered at 6416 DEANS HILL RD, BERRIEN CENTER, MI 491029750 (Tel: 2694717741)
Recorded as TED SUGIMOTO, MD
Specialist (license number reported to NPPES: MI 4301041051)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Saint Joseph
- Dr. Stephen Komara, DO
- Dr. Nathan Piovesan, MD
- Dr. Andrew Vaughan, DO
- Dr. Allison Vaughan, DO
- Dr. Michael Webb, MD
- Dr. Annabelle Staples, DO
Mailing Address
6416 Deans Hill Rd
Berrien Center, MI 491029750
Phone: 2694717741