Sungsil Cho, MD
NPI 1437611696ActiveIndividual· Family Medicine· Mystic, CT
Family Medicine (MD) with Northeast Medical Group Inc and 1 other group, practicing in Mystic, Connecticut. Their prescriptions cost Medicare Part D more than their services did: $185,115 for 2,809 claims, against $53,971 paid for services in 2024. Lists Lawrence & Memorial Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1437611696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 4, 2019 |
| Last updated in NPPES | Nov 28, 2022 |
| Certified by provider | Nov 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 72263 | CT |
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 - Family Practice (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 169 |
|---|---|
| Services billed | 765 across 30 procedure codes |
| Paid by Medicare | $53,971 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,809 · 6,207 30-day fills |
|---|---|
| Patients | 390 |
| Total drug cost | $185,115 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Northeast Medical Group IncBridgeport, CT · 1,360 clinicians
- Ptsma IncAnsonia, CT · 224 clinicians
Hospital affiliations
- Lawrence & Memorial HospitalNew London, CT
- Westerly HospitalWesterly, RI
- Yale-New Haven HospitalNew Haven, CT
Other facilities
- Hartford Healthcare at HomeHome health agency · East Hartford, CT
- Yale New Haven Health - Health at Home SoutheastHome health agency · Waterford, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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