Medicare Enrolled

Dr. Mark Sugar, M.D.

Allergy Physician · Laguna Niguel, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
28202 CABOT RD STE 105, Laguna Niguel, CA 92677
9493642900
In practice since 2006 (19 years)
NPI: 1013959253 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Sugar from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Sugar

Dr. Mark Sugar is an allergy physician in Laguna Niguel, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Sugar performed 906 Medicare services across 221 unique beneficiaries.

Between the years covered by Open Payments, Dr. Sugar received a total of $2,271 from 22 pharmaceutical and/or device companies across 95 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in allergy physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Sugar is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 906 Medicare services $2,271 industry payments

Medicare Practice Summary

Medicare Utilization ↗
906
Medicare services
Bottom 23% in CA for allergy physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
221
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~48 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Allergy skin test
A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens.
 605 $4 $8
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
 154 $105 $144
Expiratory airflow and volume test
A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume.
 68 $23 $85
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
 31 $137 $248
Nitric oxide gas level test
A test that measures the level of nitric oxide gas in the body.
 20 $18 $35
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
 17 $77 $129
Spirometry test before and after medication
A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication.
 11 $35 $135
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,271
Total received (2018-2024)
Avg $379/year across 6 years
Top 40% in CA for allergy physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
95
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,271 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$594
2023
$754
2022
$280
2020
$54
2019
$172
2018
$418

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GENZYME CORPORATION
$155
GlaxoSmithKline, LLC.
$89
Takeda Pharmaceuticals U.S.A., Inc.
$60
Regeneron Healthcare Solutions, Inc.
$59
CSL Behring
$55
ABBVIE INC.
$49
Pharming Healthcare, Inc.
$44
kaleo, Inc.
$25
PFIZER INC.
$21
AstraZeneca Pharmaceuticals LP
$20
Optinose US, Inc.
$18
Top 3 companies account for 51.1% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$395
AstraZeneca Pharmaceuticals LP
$238
Takeda Pharmaceuticals U.S.A., Inc.
$236
PFIZER INC.
$213
GENZYME CORPORATION
$187
Regeneron Healthcare Solutions, Inc.
$147
CSL Behring
$122
Incyte Corporation
$103
ABBVIE INC.
$100
Novartis Pharmaceuticals Corporation
$78
AbbVie Inc.
$73
Optinose US, Inc.
$60
Boehringer Ingelheim Pharmaceuticals, Inc.
$58
Blueprint Medicines Corporation
$52
Pharming Healthcare, Inc.
$44
Shire North American Group Inc
$38
Bio Products Laboratory USA, Inc.
$25
kaleo, Inc.
$25
Hikma Pharmaceuticals USA
$23
Horizon Therapeutics plc
$21
Horizon Pharma plc
$20
OptiNose US, Inc.
$14
Top 3 companies account for 38.2% of all-time payments
Associated products mentioned in payments ›
ACTIMMUNE · AIRSUPRA · AUVI-Q · AYVAKIT · BEVESPI AEROSPHERE · BREO · CUVITRU · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · EOHILIA · EUCRISA · FASENRA · Gammaplex · HYQVIA · Hizentra · NUCALA · OPZELURA · QULIPTA · RINVOQ · RUCONEST · Ryaltris · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · TAKHZYRO · TEZSPIRE · TRELEGY ELLIPTA · XOLAIR · Xhance
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an allergy physician in Laguna Niguel?
Compare allergy physicians in the Laguna Niguel area by procedure volume, costs, and industry payment transparency.
Browse allergy physicians nearby

Geographic Context

Allergy physicians within 10 mi
11
Per 100K population
0.3
County median income
$113,702
Nearest hospital
ALISO RIDGE BEHAVIORAL HEALTH, LLC
3.6 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Sugar is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Sugar experienced with allergy skin test?
Based on Medicare claims data, Dr. Sugar performed 605 allergy skin test services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Sugar receive payments from pharmaceutical companies?
Yes. Dr. Sugar received a total of $2,271 from 22 companies across 95 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Sugar's costs compare to other allergy physicians in Laguna Niguel?
Dr. Sugar's average Medicare payment per service is $29. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Sugar) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →