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DR. MARK A SUTOR DDS MSD
NPI 1265565253
Dentist - Periodontics in Bloomington, IN

Active since March 13, 2007PECOS Enrolled
379 S PARK RIDGE RD, BLOOMINGTON, IN 47401(812) 333-4550(812) 333-5789 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark A Sutor Dds Msd NPPES

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

DR. MARK A SUTOR DDS MSD (NPI 1265565253) is an individual periodontics provider in Bloomington, Indiana, licensed in Indiana (12009269) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265565253
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARK A SUTORCredential: DDS MSD
Location Address379 S PARK RIDGE RDBloomington, IN 47401-8574
Mailing Address379 S Park Ridge RdBloomington, IN 47401-8574 · (812) 333-4550 · Fax (812) 333-5789
Phone(812) 333-4550
Fax(812) 333-5789
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265565253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IN · 12009269
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
379 S PARK RIDGE RD, Bloomington, IN 47401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Indiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark A Sutor Dds Msd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47401 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mark Sutor's NPI number?

The NPI number for Mark Sutor is 1265565253. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Mark Sutor located?

Mark Sutor practices at 379 S Park Ridge Rd, Bloomington, IN 47401. The listed phone number is (812) 333-4550.

What is Mark Sutor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mark Sutor enrolled in Medicare?

Yes. Mark Sutor is registered in the Medicare PECOS enrollment system.

What insurance does Mark Sutor accept?

Health plans from Delta Dental of Indiana list Mark Sutor 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 Mark Sutor 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.