DR. EDWIN E SUTHERLAND II D.D.S, M.S.
NPI 1144232455
Dentist - Periodontics in Stillwater, OK
About Dr. Edwin E Sutherland Ii D.d.s, M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWIN E SUTHERLAND II D.D.S, M.S. (NPI 1144232455) is an individual periodontics provider in Stillwater, Oklahoma, licensed in Oklahoma (5390) and active in the NPI registry since August 2006. He has opted out of Medicare through June 23, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Edwin E Sutherland Ii D.d.s, M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 23, 2015 through June 23, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edwin Sutherland's NPI number?
The NPI number for Edwin Sutherland is 1144232455. It was assigned to this individual provider in the NPPES registry on August 13, 2006.
Where is Edwin Sutherland located?
Edwin Sutherland practices at 1605 S Sangre Rd, Stillwater, OK 74074. The listed phone number is (405) 533-1555.
What is Edwin Sutherland's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Edwin Sutherland enrolled in Medicare?
No. Edwin Sutherland has opted out of Medicare through June 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Edwin Sutherland accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian list Edwin Sutherland 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.
When was this NPI record last updated?
The NPPES record for Edwin Sutherland was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Edwin E Sutherland II, D.D.S, M.S. · NPI 1144232455
Periodontics provider in Stillwater, Oklahoma. Individual provider, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1144232455 (Entity type: Individual)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 5390 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1605 S SANGRE RD, Stillwater, OK 74074-1847
- **Phone:** (405) 533-1555
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 23, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1144232455) · Data from the CMS NPPES public registry.