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LORETTA SUTPHIN M.D.
NPI 1144388729
Family Medicine in Fulton, MD

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
8115 MAPLE LAWN BLVD STE 140, FULTON, MD 20759(240) 459-1800 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2023, Feb 11, 2019 (2 updates tracked since 2019).

About Loretta Sutphin M.d. NPPES

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

LORETTA SUTPHIN M.D. (NPI 1144388729) is an individual family medicine provider in Fulton, Maryland, licensed in Maryland (D77132) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Vista.

NPPES Registry Identity

NPI1144388729
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLORETTA SUTPHINCredential: M.D.
Location Address8115 MAPLE LAWN BLVD STE 140Fulton, MD 20759
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004
Phone(240) 459-1800
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1986
Enumeration DateDecember 5, 2006
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1144388729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D77132✔ Licensed in IL · 036110655✔ Licensed in CA · C54030
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8115 MAPLE LAWN BLVD STE 140, Fulton, MD 20759
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Vale Terrace DrVista, CA 92084-5218 · Phone (760) 631-5000 ext. 6114 · Fax (760) 414-3710

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

Loretta Sutphin 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 ID9234130238
PECOS Enrollment IDI20190204000095, I20190204000195
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 8

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 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.
51 services50 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
49 services49 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
40 services20 patients
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 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services19 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20759 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

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.

ARFASSA SHIFERAW
Family Medicine
8115 MAPLE LAWN BLVD STE 140
FULTON, MD 20759
Howard County (240) 459-1800
JOHNS HOPKINS COMMUNITY PHYSICIANS, INC
Counselor (Mental Health)
8115 MAPLE LAWN BLVD STE 140
FULTON, MD 20759
Howard County (410) 000-0000
JOHNS HOPKINS UNIVERSITY
Internal Medicine
8115 MAPLE LAWN BLVD STE 140
FULTON, MD 20759
Howard County (240) 459-1800
JOHNS HOPKINS UNIVERSITY
Internal Medicine
8115 MAPLE LAWN BLVD STE 140
FULTON, MD 20759
Howard County (240) 459-1800
JUDITH GREENGOLD CRNP
Nurse Practitioner (Family)
8115 MAPLE LAWN BLVD STE 140
FULTON, MD 20759
Howard County (240) 459-1800
DR. SEEMA ALIASGAR GADIWALLA M.D.
Internal Medicine
8115 MAPLE LAWN BLVD STE 140
FULTON, MD 20759
Howard County (410) 874-1400
SHARADA BAHARANI M.D.
Family Medicine
8115 MAPLE LAWN BLVD STE 140
FULTON, MD 20759
Howard County (240) 459-1800
AMANPREET KAUR AUJLA MD
Family Medicine
8115 MAPLE LAWN BLVD STE 140
FULTON, MD 20759
Howard County (240) 459-1800

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 Loretta Sutphin's NPI number?

The NPI number for Loretta Sutphin is 1144388729. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Loretta Sutphin located?

Loretta Sutphin practices at 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759. The listed phone number is (240) 459-1800.

What is Loretta Sutphin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Loretta Sutphin enrolled in Medicare?

Yes. Loretta Sutphin 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 Loretta Sutphin affiliated with any hospitals?

According to CMS data, Loretta Sutphin is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Loretta Sutphin was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.