Dr. Mark S. Sumida
- Gender: Male
- Experience: 33 years
- Graduated from: University Of Kentucky College Of Medicine
- Graduation year: 1988
- Sole propriator: No
- NPI: 1093764037
Dr. Mark S. Sumida MD
Orthopedic Surgeon
He is located at 1724 Hamill Road Suite 204 in Hixson, TN 37343. Can help patients with the following: Broken Bone, Hammer Toe, Meniscus Tear, Morton's Neuroma, Rotator Cuff Tear, Stress Fracture. His National Provider Identifier (NPI) number is 1093764037. Appointment can be made via the phone number (423) 877-4705. He is affiliated with 3 practices and 1 hospitals.
Conditions treated
Dr. Mark Sean Sumida, being an orthopedic surgeon, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Mark S. Sumida.
- ACL Tear
- Achilles Tendon Rupture
- Arthritis
- Avascular Necrosis
- Back Pain
- Baker's Cyst
- Bone Spurs
- Broken Bone
- Bunions
- Bursitis
- Carpal Tunnel Syndrome
- Cauda Equina Syndrome
- Cervical Radiculopathy
- Compartment Syndrome
- Cubital Tunnel Syndrome
- Degenerative Disc Disease (DDD)
- Dislocated Ankle
- Dislocated Shoulder
- Elbow Pain
- Frostbite
- Hammer Toe
- Herniated Disc
- Hip Replacement
- Iliotibial Band Syndrome (ITBS)
- Impingement Syndrome
- Ingrown Toenail
- Joint Fluid Extraction
- Knee Pain
- Knee Replacement
- Kyphoplasty
- Kyphosis
- Low Back Pain
- Lumbar Spinal Stenosis
- Meniscus Tear
- Metatarsal Surgery
- Morton's Neuroma
- Osgood-Schlatter Disease
- Osteoarthritis (OA)
- Osteomyelitis
- Patellofemoral Pain Syndrome (PFS)
- Plantar Fasciitis
- Repetitive Motion Disorders (RMDs)
- Rheumatoid Arthritis (RA)
- Rotator Cuff Tear
- Sciatica
- Scoliosis
- Separated Shoulder
- Spinal Stenosis
- Spondylolisthesis
- Spondylolysis
- Spondylosis
- Sprained Ankle
- Sprained Wrist
- Stress Fracture
- Tennis Elbow
- Trigger Finger
- Whiplash
- Wrist Surgery
Procedures Performed by Dr. Mark S. Sumida
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Mark S. Sumida as in-network for the following 2026 plans.
Health plans
Alliant Health Plans, Inc.
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 9 plans from Alliant Health Plans, Inc.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| SoloCare Bronze EPO $8500 DED HSA 10004 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| SoloCare Exp Bronze EPO $9500 DED 10015 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| SoloCare Gold EPO $1500 DED 10010 | EPO · Gold | Preferred | Accepting new patients |
| SoloCare Silver EPO $5000 DED 10014 | EPO · Silver | Preferred | Accepting new patients |
| SoloCare Silver EPO $6500 DED 10013 | EPO · Silver | Preferred | Accepting new patients |
| SoloCare Standard Exp Bronze EPO $7500 DED 10008 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| SoloCare Standard Gold EPO $2000 DED 10006 | EPO · Gold | Preferred | Accepting new patients |
| SoloCare Standard Platinum EPO $0 DED 10005 | EPO · Platinum | Preferred | Accepting new patients |
| SoloCare Standard Silver EPO $6000 DED 10007 | EPO · Silver | Preferred | Accepting new patients |
Ambetter of Tennessee
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 16 plans from Ambetter of Tennessee
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Elite Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze + Vision + Adult Dental | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Gold | EPO · Gold | Preferred | Accepting new patients |
| Elite Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options | EPO · Silver | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Everyday Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze + Vision + Adult Dental | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Gold | EPO · Gold | Preferred | Accepting new patients |
| Everyday Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Standard Expanded Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze + Vision + Adult Dental | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Standard Silver | EPO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
BlueCross BlueShield of Tennessee
Network data as of Aug 25, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health® (8 plan variants) | EPO · Expanded Bronze | Blue Network S | Accepting new patients |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health ® (8 plan variants) | EPO · Gold | Blue Network S | Accepting new patients |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health® (8 plan variants) | EPO · Silver | Blue Network S | Accepting new patients |
Cigna Healthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 10 plans from Cigna Healthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Connect Bronze 7500 Indiv Med Deductible | EPO · Bronze | Preferred | Accepting new patients |
| Connect Bronze 8500 Indiv Med Deductible | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze CMS Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Gold 1500 Indiv Med Deductible | EPO · Gold | Preferred | Accepting new patients |
| Connect Gold CMS Standard | EPO · Gold | Preferred | Accepting new patients |
| Connect myDiabetesCare Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Connect myDiabetesCare Silver | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver 3000 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver 4500 Indiv Med Deductible | EPO · Silver | Preferred | Accepting new patients |
| Connect Silver CMS Standard | EPO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 15 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Chronic Care CKM | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic Standard | EPO · Gold | Preferred | Accepting new patients |
| Gold Elite | EPO · Gold | Preferred | Accepting new patients |
| Silver Classic | EPO · Silver | Preferred | Accepting new patients |
| Silver Classic Standard | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits | EPO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 12 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential (No Referrals) | EPO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage (Virtual Urgent Care, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus (Virtual Urgent Care, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage (Virtual Urgent Care, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Copay Focus (Virtual Urgent Care, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Mark S. Sumida is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Mark S. Sumida is enrolled to bill Medicare as a Practitioner - Orthopedic Surgery .
Bills through: Advanced Diagnostic Imaging Pc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Arthrex | $1669 |
| Alpha Orthopedic Systems | $1108 |
| Wright Medical Technology | $670 |
Other
| Travel and Lodging | $2491 |
| Food and Beverage | $1378 |
Studies
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated in 1988
Looking for more Orthopedic Surgeons?
Here are orthopedic surgeons in Tennessee you may want to explore.
- Gender: Male
- Address: Suite 130 9430 Park West Boulevard Knoxville, 37923, TN
- Gender: Male
- Address: Suite 204 127 Crestview Park Drive Dickson, 37055, TN
- Gender: Male
- Address: 629 Middle Creek Road Sevierville, 37862, TN
- Gender: Male
- Address: 111 Pine Court Johnson City, 37601, TN
- Gender: Male
- Address: Suite 601 2001 Laurel Avenue Knoxville, 37916, TN
- Gender: Male
- Address: #300 8 City Boulevard Nashville, 37209, TN
- Gender: Male
- Address: 1400 South Germantown Road Germantown, 38138, TN
- Gender: Male
- Address: 1004 Cornerstone Drive Paris, 38242, TN
- Gender: Male
- Address: Suite 2 5022 Old Godsey Lane Hixson, 37343, TN
- Gender: Male
- Address: Suite 100 1458 West Poplar Avenue Collierville, 38017, TN
Questions & Answers
What conditions does Dr. Mark Sean Sumida treat?
Dr. Mark Sean Sumida provides treatment for Broken Bone, Hammer Toe, Meniscus Tear, Morton's Neuroma, Rotator Cuff Tear, Stress Fracture. For the full list see this list.
Does Dr. Mark Sean Sumida have affiliation with practices?
Dr. Mark Sean Sumida is affiliated with Diagnostic Center. For the full list of practices see this list.
Where can you meet with Dr. Mark Sean Sumida?
Dr. Mark Sean Sumida's office is located at 1724 Hamill Road Suite 204 in Hixson, TN 37343.
Does Dr. Mark Sean Sumida accept patients with BlueCross BlueShield of Tennessee?
Yes, Dr. Mark Sean Sumida is listed in-network for BlueCross BlueShield of Tennessee through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Has Dr. Mark Sean Sumida affiliation with hospitals?
Dr. Mark Sean Sumida is affiliated with MEMORIAL HEALTHCARE SYSTEM, INC.