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Michelle T Sugi, MD

Orthopedic Surgery · Los Angeles

NPI 1568709996

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
2 carriers
Office
1

Offices

1 location · Kevin J Pelton MD Inc · 38 clinicians in this group

Looking this up.

Plans that list them

3 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Sugi’s office at (323) 264-7600 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

3 of 3 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

California Medical Board record

Licence A123730 · Current

Licensed to practise in California · since 2012 · expires 2028-06-30 · David Geffen School of Medicine at UCLA.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$282,521 in 2024

Medicaid paid $282,521 for 5,782 billed services this clinician did in 2024, up to 139 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Short return visit (20+ min)1,401$76,354
New patient visit (30+ min)1,012$68,288
Return visit (30+ min)566$40,027
New patient visit (45+ min)362$34,538
REMOVAL/REVISION OF CAST322$11,460
Application, cast; hand and lower forearm (gauntlet)154$9,335
Radiologic examination, knee; 3 views310$5,146
Long return visit (40+ min)60$4,728
APPLICATION SHORT LEG CAST BELOW KNEE-TOE92$4,346
New patient visit (60+ min)40$4,344
Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view227$3,905
X-ray of knee, anteroposterior and lateral views256$3,433
Medicaid work by year
20245,78225139$282,521
20237,48430203$409,253
20226,65922151$456,400
20214,81021154$315,613
20205,08720152$328,243
20193,47412150$239,368
201859325$2,119
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Short return visit (20+ min)2,020$124,733
New patient visit (45+ min)771$84,215
Return visit (30+ min)574$49,383
New patient visit (30+ min)646$48,024
REMOVAL/REVISION OF CAST445$16,051
OFF/OP CNSLTJ NEW/EST MOD 4084$11,462
Long return visit (40+ min)83$10,026
Application, cast; hand and lower forearm (gauntlet)166$8,883
Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view347$6,075
APPLICATION SHORT LEG CAST BELOW KNEE-TOE103$5,820
Radiologic examination, knee; 3 views323$5,786
X-ray of knee, anteroposterior and lateral views356$5,582

2022

Largest Medicaid services in 2022
Return visit (30+ min)1,498$140,883
New patient visit (45+ min)962$105,466
Short return visit (20+ min)1,069$67,260
OFF/OP CNSLTJ NEW/EST MOD 40445$58,625
Cast supplies, short leg cast, adult (11 years +), fiberglass235$18,590
REMOVAL/REVISION OF CAST411$17,030
New patient visit (30+ min)161$11,983
Application, cast; hand and lower forearm (gauntlet)101$5,644
Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view290$5,600
APPLICATION SHORT LEG CAST BELOW KNEE-TOE61$3,639
X-RAY EXAM OF ANKLE253$3,626
Radiologic examination, knee; 3 views180$3,350

2021

Largest Medicaid services in 2021
Return visit (30+ min)1,476$126,645
New patient visit (45+ min)656$68,795
OFF/OP CNSLTJ NEW/EST MOD 40380$48,367
Short return visit (20+ min)441$23,881
REMOVAL/REVISION OF CAST279$11,915
New patient visit (30+ min)177$9,362
Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view263$5,384
X-RAY EXAM OF ANKLE207$3,435
Special casting material (e.g., fiberglass)281$2,972
APPLICATION SHORT LEG CAST BELOW KNEE-TOE53$2,854
X-ray of knee, anteroposterior and lateral views109$2,167
X-RAY EXAM OF FOOT100$1,777

2020

Largest Medicaid services in 2020
Return visit (30+ min)1,826$142,531
OFF/OP CNSLTJ NEW/EST MOD 40459$60,854
New patient visit (45+ min)573$51,135
REMOVAL/REVISION OF CAST352$14,289
New patient visit (30+ min)185$12,342
Short return visit (20+ min)226$8,779
PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR134$6,973
Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view240$6,744
Application, cast; hand and lower forearm (gauntlet)123$5,973
Special casting material (e.g., fiberglass)327$4,296
X-ray of elbow, anteroposterior and lateral views126$3,485
X-RAY EXAM OF ANKLE132$3,003

2019

Largest Medicaid services in 2019
Return visit (30+ min)1,283$93,036
OFF/OP CNSLTJ NEW/EST MOD 40655$74,195
New patient visit (45+ min)383$30,921
Short return visit (20+ min)263$10,570
Application, cast; hand and lower forearm (gauntlet)106$7,090
Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view227$5,855
APPLICATION SHORT LEG CAST BELOW KNEE-TOE76$5,070
Special casting material (e.g., fiberglass)241$5,028
New patient visit (30+ min)73$3,798
X-RAY EXAM OF ANKLE75$1,847
X-RAY EXAM OF WRIST45$1,053
X-ray of elbow, anteroposterior and lateral views47$906

2018

Largest Medicaid services in 2018
New patient visit (45+ min)17$990
Short return visit (20+ min)26$654
New patient visit (30+ min)16$475

Money from drug and device companies

$1,476 in 2025

Industry payments by year
202527$488$1,476
2024415$250$1,652
202311None$149
202211None$28
202111None$1,200
202011None$2,986

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Miach OrthopaedicsNone$1,439
3 payments
  • Consulting · 2025-11-11 · $488
  • Travel · 2025-10-09 · $717
  • Meals · 2025-10-02 · $234
Smith+NephewNone$38
1 payment
  • Meals · 2025-05-19 · $38
See all 4 published payments
Every published payment
Miach OrthopaedicsConsulting · 2025-11-11None$488
Miach OrthopaedicsTravel · 2025-10-09None$717
Miach OrthopaedicsMeals · 2025-10-02None$234
Smith+NephewMeals · 2025-05-19None$38
See earlier years (2024, 2023, 2022, 2021, 2020)

2024: $1,652

Payments by company in 2024
Saxum SurgicalNone$701
1 payment
  • Travel · 2024-04-03 · $701
ArthrexNone$636
11 payments
  • Meals · 2024-04-05 · $10
  • Meals · 2024-04-05 · $24
  • Travel · 2024-04-04 · $239
  • Meals · 2024-04-04 · $10
  • Meals · 2024-04-04 · $10
  • Meals · 2024-04-04 · $10
  • Meals · 2024-04-04 · $10
  • Meals · 2024-04-04 · $10
  • Meals · 2024-04-04 · $35
  • Meals · 2024-04-04 · $40
  • Travel · 2024-04-03 · $239
Rti SurgicalPre-Sutured Tendon (Pst)$250
1 payment
  • Consulting for Pre-Sutured Tendon (Pst) · 2024-10-31 · $250
Smith+NephewAcufex Meniscal Root Repair$65
2 payments
  • Meals for Acufex Meniscal Root Repair · 2024-04-21 · $17
  • Meals for Acufex Meniscal Root Repair · 2024-04-21 · $49

2023: $149

Payments by company in 2023
Smith+NephewBioinductive Implant With Arthroscopic Delivery System - Medium$149
1 payment
  • Meals for Bioinductive Implant With Arthroscopic Delivery System - Medium · 2023-07-20 · $149

2022: $28

Payments by company in 2022
Boston ScientificVarithena Administration Pack$28
1 payment
  • Meals for Varithena Administration Pack · 2022-02-14 · $28

2021: $1,200

Payments by company in 2021
MicromedNone$1,200
1 payment
  • Education · 2021-09-22 · $1,200

2020: $2,986

Payments by company in 2020
MicromedNone$2,986
1 payment
  • Education · 2020-02-29 · $2,986

Professional record

NPI
1568709996
Licence
CA A123730California A123730: Current · expires 2028-06-30
Trained
University of California, Geffen School of Medicine, 2011
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Orthopedic surgery (207X00000X)
Mailing address
5767 W Century Blvd Ste 400, Los Angeles, CA, 90045
NPI first listed
2013-01-04
NPI last updated
2022-07-21

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 725 Welch Rd, Palo Alto, CA, 94304