BOBBIE SUTTON M.D.
NPI 1093807083
Pathology - Anatomic Pathology & Clinical Pathology in South Bend, IN

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
530 N. LAFAYETTE BLVD, SOUTH BEND, IN 46601(574) 234-4176(574) 234-1561 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bobbie Sutton M.d. NPPES

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

BOBBIE SUTTON M.D. (NPI 1093807083) is an individual anatomic pathology & clinical pathology provider in South Bend, Indiana, licensed in Indiana (01052748) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Indiana University School Of Medicine (1990).

NPPES Registry Identity

NPI1093807083
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameBOBBIE SUTTONCredential: M.D.
Location Address530 N. LAFAYETTE BLVDSouth Bend, IN 46601-1098
Mailing Address530 N. Lafayette BlvdSouth Bend, IN 46601-1098 · (574) 234-4176 · Fax (574) 234-1561
Fax(574) 234-1561
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1990
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093807083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in IN · 01052748
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

530 N. LAFAYETTE BLVD, South Bend, IN 46601

Other Identifiers 2

Medicare UPING19048IN
Medicare ID-Type Unspecified738980RIN

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

Bobbie Sutton M.d. 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 ID7810186343
PECOS Enrollment IDI20110311000317
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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
370 services169 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
45 services12 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
42 services36 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
22 services18 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
21 services20 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
16 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150168
Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361322
Location139 Garau StreetBluffton, OH 45817 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Other Providers at the Same Location NPPES 11

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

Pathology (Anatomic Pathology & Clinical Pathology)
530 N. LAFAYETTE BLVD
SOUTH BEND, IN 46601
Pathology (Anatomic Pathology & Clinical Pathology)
530 N. LAFAYETTE BLVD
SOUTH BEND, IN 46601
Pathology (Anatomic Pathology & Clinical Pathology)
530 N. LAFAYETTE BLVD
SOUTH BEND, IN 46601
Pathology (Anatomic Pathology & Clinical Pathology)
530 N. LAFAYETTE BLVD
SOUTH BEND, IN 46601
Pathology (Anatomic Pathology & Clinical Pathology)
530 N. LAFAYETTE BLVD
SOUTH BEND, IN 46601
Pathology (Anatomic Pathology & Clinical Pathology)
530 N. LAFAYETTE BLVD
SOUTH BEND, IN 46601
Pathology (Clinical Pathology/Laboratory Medicine)
530 N. LAFAYETTE BLVD
SOUTH BEND, IN 46601
Pathology (Anatomic Pathology & Clinical Pathology)
530 N. LAFAYETTE BLVD
SOUTH BEND, IN 46601

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 Bobbie Sutton's NPI number?

The NPI number for Bobbie Sutton is 1093807083. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Bobbie Sutton located?

Bobbie Sutton practices at 530 N. Lafayette Blvd, South Bend, IN 46601. The listed phone number is (574) 234-4176.

What is Bobbie Sutton's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Bobbie Sutton enrolled in Medicare?

Yes. Bobbie 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 Bobbie Sutton accept?

Health plans from CareSource and Oscar Insurance Company list Bobbie 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 Bobbie Sutton affiliated with any hospitals?

According to CMS data, Bobbie Sutton is affiliated with Lutheran Hospital Of Indiana, The Orthopaedic Hospital Of Lutheran Health Networ, Southern Ohio Medical Center, Blanchard Valley Hospital and Bluffton Hospital.

When was this NPI record last updated?

The NPPES record for Bobbie Sutton was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.