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ANTHONY J SUCHOSKI MD
NPI 1285838201
Family Medicine - Sleep Medicine in Cincinnati, OH

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
6350 GLENWAY AVE, 305, CINCINNATI, OH 45211(513) 246-7000(513) 481-4101 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony J Suchoski Md NPPES

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

ANTHONY J SUCHOSKI MD (NPI 1285838201) is an individual sleep medicine provider in Cincinnati, Ohio, licensed in Ohio (35.092354) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1285838201
Entity TypeIndividualMale
Primary Taxonomy207QS1201X
Provider Legal NameANTHONY J SUCHOSKICredential: MD
Location Address6350 GLENWAY AVE, 305Cincinnati, OH 45211-6378
Mailing Address4685 Forest Ave, Ste CCincinnati, OH 45212-3397 · (513) 246-7000 · Fax (513) 246-7852
Phone(513) 246-7000
Fax(513) 481-4101
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 13, 2007
Last NPPES UpdateMay 7, 2015
✔ NPI 1285838201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
License✔ Licensed in OH · 35.092354
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
6350 GLENWAY AVE, Cincinnati, OH 45211
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN4252388OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Anthony J Suchoski 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 ID3779648217
PECOS Enrollment IDI20090217000020
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.
344 services249 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
107 services107 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
52 services52 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.
45 services44 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
43 services41 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45211 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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
24 suppliers496 claims496 services$30.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
17 suppliers184 claims184 services$73.23 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers170 claims455 services$28.21 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers187 claims1,066 services$15.14 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
14 suppliers188 claims1,057 services$12.65 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
20 suppliers403 claims403 services$45.88 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 20

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

SUSAN R STRICK MD
Pediatrics
6350 GLENWAY AVE, SUITE 300
CINCINNATI, OH 45211
Hamilton County (513) 481-9700
KADI CARMOSINO P.T
Physical Therapist
6350 GLENWAY AVE, STE 415
CINCINNATI, OH 45211
Hamilton County (513) 347-9999
ERNEST CIAMBARELLA MD
Pediatrics
6350 GLENWAY AVE, SUITE 300
CINCINNATI, OH 45211
Hamilton County (513) 481-9700
MERCY HEALTH PHYSICIANS CINCINNATI LLC
Durable Medical Equipment & Medical Supplies
6350 GLENWAY AVE, SUITE 415
CINCINNATI, OH 45211
Hamilton County (513) 347-9999
AMY FRISCH BENGE MD
Pediatrics
6350 GLENWAY AVE, SUITE 300
CINCINNATI, OH 45211
Hamilton County (513) 481-9700
MONICA Q LEONARD CNP
Nurse Practitioner (Pediatrics)
6350 GLENWAY AVE, SUITE 300
CINCINNATI, OH 45211
Hamilton County (513) 481-9700
STEPHANIE ANN BECKER NP
Nurse Practitioner (Family)
6350 GLENWAY AVE
CINCINNATI, OH 45211
Hamilton County (513) 481-3400
DR. ROSHNI SHETTY M.D.
Internal Medicine
6350 GLENWAY AVE, SUITE 400
CINCINNATI, OH 45211
Hamilton County (513) 481-3400

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 Anthony Suchoski's NPI number?

The NPI number for Anthony Suchoski is 1285838201. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Anthony Suchoski located?

Anthony Suchoski practices at 6350 Glenway Ave 305, Cincinnati, OH 45211. The listed phone number is (513) 246-7000.

What is Anthony Suchoski's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Anthony Suchoski enrolled in Medicare?

Yes. Anthony Suchoski 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 Anthony Suchoski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Anthony Suchoski 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 Anthony Suchoski affiliated with any hospitals?

According to CMS data, Anthony Suchoski is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Anthony Suchoski was last updated on May 7, 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.