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DR. SUMATHI SUPPIAH MD
NPI 1164679122
Family Medicine in York, PA

Active since August 21, 2008PECOS EnrolledAccepts Medicare Assignment
90.99/100
CMS Quality Rating
2295 N SUSQUEHANNA TRL, SUIT A, YORK, PA 17404(717) 812-0731(717) 812-9848 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2022, Dec 19, 2020, Oct 2, 2019 (3 updates tracked since 2019).

About Dr. Sumathi Suppiah Md NPPES

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

DR. SUMATHI SUPPIAH MD (NPI 1164679122) is an individual family medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD443124) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1164679122
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUMATHI SUPPIAHCredential: MD
Location Address2295 N SUSQUEHANNA TRL, SUIT AYork, PA 17404-8495
Mailing AddressPo Box 909York, PA 17405-0909 · (717) 815-2555 · Fax (717) 854-1434
Phone(717) 812-0731
Fax(717) 812-9848
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 21, 2008
Last NPPES UpdateDecember 8, 20223 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1164679122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD443124
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.
2295 N SUSQUEHANNA TRL, York, PA 17404
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Secondary Practice Location 1

Location 11600 6th Ave Ste 115York, PA 17403-2627 · Phone (717) 849-2804 · Fax (717) 849-2804

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

Dr. Sumathi Suppiah Md 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 ID2567633050
PECOS Enrollment IDI20110913000584
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 4

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.
243 services113 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 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.
44 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17404 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

90.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.95
Promoting Interoperability100
Improvement Activities40
Cost77.03

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
52%184 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
57%311 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
14%94 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
13%706 patients1/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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
5 suppliers17 claims33 services$5.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$87.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims42 services$30.81 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers17 claims102 services$2.14 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$215.29 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 2

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

DR. GINA M PERRY D.O.
Family Medicine
2295 N SUSQUEHANNA TRL, SUITE A
YORK, PA 17404
York County (717) 812-0731
DR. DEBORAH R MCCAHON D.O.
Family Medicine
2295 N SUSQUEHANNA TRL, SUITE A
YORK, PA 17404
York County (717) 812-0731

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 Sumathi Suppiah's NPI number?

The NPI number for Sumathi Suppiah is 1164679122. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Where is Sumathi Suppiah located?

Sumathi Suppiah practices at 2295 N Susquehanna Trl Suit A, York, PA 17404. The listed phone number is (717) 812-0731.

What is Sumathi Suppiah's specialty?

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

Is Sumathi Suppiah enrolled in Medicare?

Yes. Sumathi Suppiah 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 Sumathi Suppiah affiliated with any hospitals?

According to CMS data, Sumathi Suppiah is affiliated with Wellspan York Hospital, Upmc Pinnacle Hospitals, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Sumathi Suppiah was last updated on December 8, 2022. 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.