GRETCHEN L SUTTON P.A.
NPI 1063419695
Physician Assistant in Eldorado, IL

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
60.99/100
CMS Quality Rating
1300 US HIGHWAY 45 N, ELDORADO, IL 62930(618) 297-9660 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2025, Jul 3, 2024 (2 updates tracked since 2024).

About Gretchen L Sutton P.a. NPPES

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

GRETCHEN L SUTTON P.A. (NPI 1063419695) is an individual physician assistant in Eldorado, Illinois, licensed in Illinois (085001662) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1063419695
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRETCHEN L SUTTONCredential: P.A.
Location Address1300 US HIGHWAY 45 NEldorado, IL 62930-3765
Mailing Address272 Country Rd 300 NNorris City, IL 62869 · (618) 599-2663
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 28, 2005
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1063419695 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 · 085001662
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.
1300 US HIGHWAY 45 N, Eldorado, IL 62930

Other Names 1

Former Name (1)Gretchen L Phelps

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

Gretchen L Sutton P.a. 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 ID648227728
PECOS Enrollment IDI20050331000816
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.

Hospital Affiliations CMS Care Compare 3

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

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141311
Location303 N W 11th StreetFairfield, IL 62837 · Wayne County
Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62930 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.42
Promoting Interoperability81
Improvement Activities40
Cost17.59

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers44 claims65 services$5.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers21 claims21 services$0.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$111.02 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims1,560 services$0.09 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$25.60 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 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.

Hospice Care, Community Based
1300 US HIGHWAY 45 N
ELDORADO, IL 62930
Home Health
1300 US HIGHWAY 45 N
ELDORADO, IL 62930
Clinic/Center (Rural Health)
1300 US HIGHWAY 45 N
ELDORADO, IL 62930
Family Medicine
1300 US HIGHWAY 45 N
ELDORADO, IL 62930

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 Gretchen Sutton's NPI number?

The NPI number for Gretchen Sutton is 1063419695. It was assigned to this individual provider in the NPPES registry on June 28, 2005. The provider is also known as Gretchen L Phelps.

Where is Gretchen Sutton located?

Gretchen Sutton practices at 1300 Us Highway 45 N, Eldorado, IL 62930. The listed phone number is (618) 297-9660.

What is Gretchen Sutton's specialty?

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

Is Gretchen Sutton enrolled in Medicare?

Yes. Gretchen 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.

Is Gretchen Sutton affiliated with any hospitals?

According to CMS data, Gretchen Sutton is affiliated with Fairfield Memorial Hospital 1, Ferrell Hospital Community Foundations and Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Gretchen Sutton was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.