Medicare Enrolled

Dr. Jeffrey Sugarman, M.D., PH.D.

Pediatric Dermatology Physician · Santa Rosa, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Speaking/Promotional
2725 MENDOCINO AVE, Santa Rosa, CA 95403
7075454537
In practice since 2005 (20 years)
NPI: 1548255482 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. Sugarman 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. Sugarman

Dr. Jeffrey Sugarman is a pediatric dermatology physician in Santa Rosa, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Sugarman performed 13,043 Medicare services across 4,222 unique beneficiaries.

Between the years covered by Open Payments, Dr. Sugarman received a total of $440,831 from 36 pharmaceutical and/or device companies across 818 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pediatric dermatology physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Sugarman 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.

✓ 20 years in practice ▲ Top 14% volume in CA $440,831 industry payments

Medicare Practice Summary

Medicare Utilization ↗
13,043
Medicare services
Top 14% in CA for pediatric dermatology physician
4,222
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~652 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
Tissue pathology examination, moderate complexity
A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue.
10,252 $32 $95
Destruction of precancerous skin growths, 2-14
This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer.
824 $5 $17
Ultraviolet light skin treatment
Application of ultraviolet light to the skin for therapeutic purposes.
399 $21 $55
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.
309 $60 $160
Pathology tissue examination, moderate complexity
A laboratory test where a pathologist examines tissue samples under a microscope to identify abnormalities. This specific level indicates a moderate degree of complexity in the analysis.
250 $20 $53
Destruction of precancerous skin growth, 1
Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer.
203 $40 $130
Skin biopsy, tangential
A procedure to remove a sample of the first identified skin growth for laboratory examination.
136 $73 $220
UV therapy with tar or petroleum jelly
A treatment using ultraviolet radiation combined with the application of tar or petroleum jelly to the skin.
113 $103 $155
Destruction of 15 or more precancerous skin growths
This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer.
100 $136 $270
Special tissue stain and interpretation
A laboratory test using special stains to examine tissue samples, including the pathologist's review and written report of the findings.
63 $43 $107
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
62 $37 $92
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
61 $10 $50
Destruction of skin growths (warts/lesions), 1-14
This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface.
49 $78 $235
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.
42 $91 $225
Additional skin growth biopsy
Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session.
39 $43 $120
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
39 $67 $225
Topical aminolevulinic acid HCl 20% solution
A topical medication applied to the skin for medical treatment. It is supplied as a single-unit dosage form containing 354 mg of the active ingredient.
27 $302 $700
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
26 $43 $155
Light therapy to destroy precancerous skin growth
This procedure uses light to treat and remove precancerous skin lesions. It is a method for destroying abnormal skin cells before they become cancerous.
23 $113 $300
Surgical removal of skin cancer, 1.1-2.0 cm
Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs.
13 $117 $525
Intermediate wound repair, 2.6-7.5 cm
A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing.
13 $229 $645
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 ↗
$440,831
Total received (2018-2024)
Avg $62,976/year across 7 years
Top 4% in CA for pediatric dermatology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
818
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$298,816 (67.8%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$134,760 (30.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,255 (1.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$104,534
2023
$100,858
2022
$24,677
2021
$30,970
2020
$34,030
2019
$90,664
2018
$55,099

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Regeneron Healthcare Solutions, Inc.
$33,315
Incyte Corporation
$21,569
ABBVIE INC.
$19,404
Evolved By Nature, Inc.
$8,000
PFIZER INC.
$7,600
GENZYME CORPORATION
$4,802
Arcutis Biotherapeutics, Inc.
$2,439
LNHC, Inc
$2,349
Boehringer Ingelheim Pharmaceuticals, Inc.
$2,348
Dermavant Sciences, Inc.
$1,060
NOBELPHARMA AMERICA, LLC
$400
E.R. Squibb & Sons, L.L.C.
$245
Novartis Pharmaceuticals Corporation
$245
Janssen Biotech, Inc.
$234
Lilly USA, LLC
$220
UCB, Inc.
$96
Amgen Inc.
$62
Almirall LLC
$49
Genentech USA, Inc.
$22
Galderma Laboratories, L.P.
$20
Ortho Dermatologics, a division of Bausch Health US, LLC
$20
Organon Llc
$17
LEO Pharma Inc.
$16
Top 3 companies account for 71.1% of 2024 payments
All-time payments by company (2018-2024) ›
Regeneron Healthcare Solutions, Inc.
$164,115
GENZYME CORPORATION
$72,675
PFIZER INC.
$63,544
Incyte Corporation
$53,546
ABBVIE INC.
$19,959
Ortho Dermatologics, a division of Bausch Health US, LLC
$19,412
Regeneron Pharmaceuticals, Inc.
$10,189
E.R. Squibb & Sons, L.L.C.
$8,727
Evolved By Nature, Inc.
$8,000
Novartis Pharmaceuticals Corporation
$5,424
Arcutis Biotherapeutics, Inc.
$4,417
Boehringer Ingelheim Pharmaceuticals, Inc.
$2,374
LNHC, Inc
$2,349
AbbVie Inc.
$1,406
Dermavant Sciences, Inc.
$1,096
Lilly USA, LLC
$598
Janssen Biotech, Inc.
$560
NOBELPHARMA AMERICA, LLC
$400
Amgen Inc.
$378
Allergan, Inc.
$260
Sun Pharmaceutical Industries Inc.
$257
Galderma Laboratories, L.P.
$214
AbbVie, Inc.
$201
UCB, Inc.
$132
Pierre Fabre Pharmaceuticals, Inc.
$124
Genentech USA, Inc.
$93
LEO Pharma Inc.
$90
Biofrontera Inc.
$59
Almirall LLC
$49
Akcea Therapeutics, Inc.
$47
Bausch Health US, LLC
$45
Kyowa Kirin, Inc.
$23
Fresenius Kabi USA, LLC
$23
Medtronic Vascular, Inc.
$17
Organon Llc
$17
STRATA Skin Sciences, Inc.
$11
Top 3 companies account for 68.1% of all-time payments
Associated products mentioned in payments ›
ADBRY · ALTRENO · AMELUZ · Ameluz · BOTOX · Bimzelx · CIBINQO · COSENTYX · Cimzia · DUOBRII · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · Dermatological Psoriasis and Vitiligo Treatment · ENSTILAR · EUCRISA · Erivedge · FINACEA · HADLIMA · HEMANGEOL · HUMIRA · HYFTOR · Humira · IDACIO · ILUMYA · ILUMYA (tildrakizumab-asmn) injection · LIBTAYO · OPZELURA · ORACEA · Otezla · Poteligeo · REMICADE · RINVOQ · SILIQ · SKYRIZI · SPEVIGO · Seysara · Skyrizi · Sotyktu · TALTZ · TEGSEDI · TREMFYA · Tremfya · VTAMA · VenaSeal · Winlevi · XELJANZ · XOLAIR · Xolair · Zoryve
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 →

The majority of payments (68%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in pediatric dermatology physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 4% for pediatric dermatology physician in CA.

Looking for a pediatric dermatology physician in Santa Rosa?
Compare pediatric dermatology physicians in the Santa Rosa area by procedure volume, costs, and industry payment transparency.
Browse pediatric dermatology physicians nearby

Geographic Context

Pediatric dermatology physicians within 10 mi
1
Per 100K population
0.2
County median income
$102,840
Nearest hospital
SUTTER SANTA ROSA REGIONAL HOSPITAL
0.0 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. Sugarman is a mixed practice specialist, with above-average Medicare volume (top 14% in CA), with speaking/promotional industry engagement in the top 4% of CA peers, with 20 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. Sugarman experienced with tissue pathology examination, moderate complexity?
Based on Medicare claims data, Dr. Sugarman performed 10,252 tissue pathology examination, moderate complexity 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. Sugarman receive payments from pharmaceutical companies?
Yes. Dr. Sugarman received a total of $440,831 from 36 companies across 818 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. Sugarman's costs compare to other pediatric dermatology physicians in Santa Rosa?
Dr. Sugarman's average Medicare payment per service is $34. 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. Sugarman) 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 →
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.

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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 →