ABIGAIL ROSE SUTTON PA-C
NPI 1033830195
Physician Assistant in Peoria, IL

Active since September 07, 2022PECOS EnrolledAccepts Medicare Assignment
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605(309) 676-5546(309) 676-5045 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abigail Rose Sutton Pa-c NPPES

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

ABIGAIL ROSE SUTTON PA-C (NPI 1033830195) is an individual physician assistant in Peoria, Illinois, licensed in Illinois (085.009024) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1033830195
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameABIGAIL ROSE SUTTONCredential: PA-C
Location Address303 N WILLIAM KUMPF BLVDPeoria, IL 61605-2507
Mailing Address1112 Williamsburg DrCharleston, IL 61920-4335 · (217) 503-7065
Fax(309) 676-5045
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 5, 2022
NPI 1033830195 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 IL · 085.009024
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.

303 N WILLIAM KUMPF BLVD, Peoria, IL 61605

Accepted 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

Abigail Rose Sutton Pa-c 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 ID2668841313
PECOS Enrollment IDI20221220000489
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 3

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 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.
35 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services35 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61605 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Physician Assistant
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Orthopaedic Surgery (Sports Medicine)
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Internal Medicine (Sports Medicine)
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Physical Therapist
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Physician Assistant
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605
Physical Therapist
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605

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 Abigail Sutton's NPI number?

The NPI number for Abigail Sutton is 1033830195. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Abigail Sutton located?

Abigail Sutton practices at 303 N William Kumpf Blvd, Peoria, IL 61605. The listed phone number is (309) 676-5546.

What is Abigail Sutton's specialty?

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

Is Abigail Sutton enrolled in Medicare?

Yes. Abigail Sutton 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 Abigail Sutton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Abigail Sutton 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 Abigail Sutton affiliated with any hospitals?

According to CMS data, Abigail Sutton is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Abigail Sutton was last updated on September 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.