Dr Mark Sean Sumida, MD - Medicare Orthopedic Surgery in Hixson, TN

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Dr Mark Sean Sumida, MD is a medicare enrolled "Orthopaedic Surgery" physician in Hixson, Tennessee. He went to University Of Kentucky College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Advanced Diagnostic Imaging Pc and his current practice location is 1724 Hamill Road Suite 204, Hixson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 877-4705.

Dr Mark Sean Sumida is licensed to practice in Tennessee (license number 20177) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093764037.

Contact Information

Dr Mark Sean Sumida, MD
1724 Hamill Road Suite 204,
Hixson, TN 37343
(423) 877-4705
(423) 877-9970

Map and Direction




Physician's Profile

Full NameDr Mark Sean Sumida
GenderMale
SpecialityOrthopedic Surgery
Experience36 Years
Location1724 Hamill Road Suite 204, Hixson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark Sean Sumida attended and graduated from University Of Kentucky College Of Medicine in 1988
  NPI Data:
  • NPI Number: 1093764037
  • Provider Enumeration Date: 05/08/2006
  • Last Update Date: 02/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587616818
  • Enrollment ID: I20100818000781

Medical Identifiers

Medical identifiers for Dr Mark Sean Sumida such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093764037NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 20177 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Camellia Home HealthKnoxville, TNHome health agency
Memorial Healthcare System, IncChattanooga, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Diagnostic Imaging Pc7315848140547

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Sean Sumida allows following entities to bill medicare on his behalf.
Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677
Entity NameMark S. Sumida, Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033757802
PECOS PAC ID: 8426484445
Enrollment ID: O20200210002363

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Sean Sumida is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Sean Sumida, MD
3024 Business Park Cir,
Goodlettsville, TN 37072-3132

Ph: (615) 239-2018		Dr Mark Sean Sumida, MD
1724 Hamill Road Suite 204,
Hixson, TN 37343

Ph: (423) 877-4705

Reviews and Comments


Orthopaedic Surgery Doctors in Hixson, TN

Neil Howard Spitalny, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5022 Old Godsey Ln, Suite 2, Hixson, TN 37343
Phone: 423-870-4999    Fax: 423-870-1985
William E Matthews, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5022 Old Godsey Ln, Suite 8, Hixson, TN 37343
Phone: 423-875-0793    Fax: 423-876-7456
Norman Earl Mcelheney, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5022 Old Godsey Ln, Suite 8, Hixson, TN 37343
Phone: 423-875-0793    Fax: 423-876-7456
Dr. William Michael Reisman, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1724 Hamill Rd Ste 204, Hixson, TN 37343
Phone: 423-877-4705    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.