MARGARET SUTTER
NPI 1124407986
Nurse Practitioner - Family in Cincinnati, OH

Active since May 27, 2015PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
3333 BURNET AVE, MLC 2021, CINCINNATI, OH 45229(513) 636-6771(513) 636-4615 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Margaret Sutter NPPES

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

MARGARET SUTTER (NPI 1124407986) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (COA-17345.NP) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124407986
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARGARET SUTTER
Location Address3333 BURNET AVE, MLC 2021Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave, Mlc 2021Cincinnati, OH 45229-3026 · (513) 636-6771 · Fax (513) 636-4615
Fax(513) 636-4615
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2015
Last NPPES UpdateJune 16, 2015
NPI 1124407986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · COA-17345.NP
3333 BURNET AVE, Cincinnati, OH 45229

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

Margaret Sutter 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 ID941511828
PECOS Enrollment IDI20220622002155, I20240801002944
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 15

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
253 services190 patients
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.
214 services169 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
96 services78 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
82 services72 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
72 services59 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.
64 services58 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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.

Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229

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 Margaret Sutter's NPI number?

The NPI number for Margaret Sutter is 1124407986. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Margaret Sutter located?

Margaret Sutter practices at 3333 Burnet Ave Mlc 2021, Cincinnati, OH 45229. The listed phone number is (513) 636-6771.

What is Margaret Sutter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Margaret Sutter enrolled in Medicare?

Yes. Margaret Sutter 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 Margaret Sutter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Margaret Sutter 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 Margaret Sutter affiliated with any hospitals?

According to CMS data, Margaret Sutter is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence, Bethesda North and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Sutter was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.