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AMY D SUSTAITA
NPI 1003113770
Physician Assistant in Marshall, TX

Active since February 16, 2011PECOS EnrolledAccepts Medicare Assignment
815 S WASHINGTON AVE STE 100, MARSHALL, TX 75670(903) 927-6800 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy D Sustaita NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY D SUSTAITA (NPI 1003113770) is an individual physician assistant in Marshall, Texas, licensed in Texas (PA07123) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1003113770
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY D SUSTAITA
Location Address815 S WASHINGTON AVE STE 100Marshall, TX 75670-5316
Mailing Address304 Medic Ln, Ste BAlvin, TX 77511-5894 · (281) 331-2062 · Fax (281) 331-8070
Phone(903) 927-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 16, 2011
Last NPPES UpdateApril 16, 2021
NPPES CertifiedApril 16, 2021
✔ NPI 1003113770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA07123
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
815 S WASHINGTON AVE STE 100, Marshall, TX 75670
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Secondary Practice Location 1

Location 110950 Resource Pkwy, Suite AHouston, TX 77089-6134 · Phone (281) 484-5587 · Fax (281) 484-1785

Other Identifiers 1

Medicaid420661701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy D Sustaita is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062674690
PECOS Enrollment IDI20120427000220
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
178 services134 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services74 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
42 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75670 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$56.63 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier32 claims32 services$6.33 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$51.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARITY U EKO MD MPH MBA
Family Medicine
815 S WASHINGTON AVE STE 100
MARSHALL, TX 75670
Harrison County (903) 927-6800
DR. MICHELLE LEE RAY MD
Internal Medicine
815 S WASHINGTON AVE STE 100
MARSHALL, TX 75670
Harrison County (903) 927-6800
DR. KAVITA NIRMAL M.D.
Internal Medicine (Hematology & Oncology)
815 S WASHINGTON AVE STE 100
MARSHALL, TX 75670
Harrison County (903) 927-6094
EMMA MARIE RITTER FNP-BC
Nurse Practitioner (Family)
815 S WASHINGTON AVE STE 100
MARSHALL, TX 75670
Harrison County (903) 937-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Sustaita's NPI number?

The NPI number for Amy Sustaita is 1003113770. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Where is Amy Sustaita located?

Amy Sustaita practices at 815 S Washington Ave Ste 100, Marshall, TX 75670. The listed phone number is (903) 927-6800.

What is Amy Sustaita's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Sustaita enrolled in Medicare?

Yes. Amy Sustaita is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Sustaita accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Amy Sustaita as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amy Sustaita affiliated with any hospitals?

According to CMS data, Amy Sustaita is affiliated with Christus Good Shepherd Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Sustaita was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.