Sumit Duggal
NPI 1386806784ActiveIndividual· Internal Medicine, Cardiovascular Disease· Frederick, MD
Internal Medicine, Cardiovascular Disease with Privia Medical Group, LLC and 2 other groups, practicing in Frederick, Maryland. Their prescriptions cost Medicare Part D more than their services did: $1,218,484 for 6,091 claims, against $726,634 paid for services in 2024. Medtronic, Inc. was the largest of 3 companies reporting payments in 2025, $857.88 in all, mostly travel and lodging. Lists Augusta Health and 1 other hospital as hospital affiliations.
Overview
| NPI | 1386806784 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 26, 2008 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | M85207 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (MD); Practitioner - Cardiovascular Disease (Cardiology) (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,144 |
|---|---|
| Services billed | 7,982 across 57 procedure codes |
| Paid by Medicare | $726,634 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,091 · 16,869 30-day fills |
|---|---|
| Patients | 792 |
| Total drug cost | $1,218,484 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
Medical groups
- Privia Medical Group, LLCFairfax, VA · 1,533 clinicians
- Frederick Health Hospital IncBrunswick, MD · 127 clinicians
- Cardiovascular Specialists of Frederick, LLCFrederick, MD · 10 clinicians
Hospital affiliations
- Augusta HealthFishersville, VA
- Frederick Health HospitalFrederick, MD
Industry payments (Open Payments)
- 2025$857.88 · 11 payments from 3 companies
- 2024$38.06 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $811.56 | 9 |
| Novartis Pharmaceuticals Corporation | $24.50 | 1 |
| E.R. Squibb & Sons, L.L.C. | $21.82 | 1 |
What the 2025 payments were for
- Travel and Lodging$764.01 · 4 payments
- Food and Beverage$93.87 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 29 cardiologists in Frederick · All cardiologists in Maryland