Thomas J. Sugarman, M.D
NPI 1609895903ActiveIndividual· Emergency Medicine· Antioch, CA
Emergency Medicine (M.D) with Vituity-Wisconsin Em SC, practicing in Antioch, California. Mostly services rather than prescriptions: Medicare paid $7,306 for 60 patients in 2024, with only 30 Part D claims. Lists Ascension St Vincent Clay and 1 other hospital as hospital affiliations.
Overview
| NPI | 1609895903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Jul 18, 2006 |
| Last updated in NPPES | Jun 18, 2024 |
| Certified by provider | Jun 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 036084355 | IL |
| Emergency Medicine | 207P00000X | 82516-20 | WI |
| Emergency Medicine | 207P00000X | 01088223A | IN |
| Emergency Medicine | 207P00000X | G70552 | CA |
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 - Emergency Medicine (CA); Practitioner - Emergency Medicine (IL); Practitioner - Emergency Medicine (IN); Practitioner - Emergency Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 88 across 12 procedure codes |
| Paid by Medicare | $7,306 |
Part D prescriptions in 2024
| Prescriptions (claims) | 30 · 30 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $1,023 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Vituity-Wisconsin Em SCOconto Falls, WI · 56 clinicians
Hospital affiliations
- Ascension St Vincent ClayBrazil, IN
- Ascension St Vincent SalemSalem, IN
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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All 26 emergency medicine physicians in Antioch · All emergency medicine physicians in California