KYLE MICHAEL SUTHERLAND PA-C
NPI 1295331791
Physician Assistant in Clearfield, PA

Active since December 09, 2020PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
531 HANNAH ST, CLEARFIELD, PA 16830(814) 765-2261 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Michael Sutherland Pa-c NPPES

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

KYLE MICHAEL SUTHERLAND PA-C (NPI 1295331791) is an individual physician assistant in Clearfield, Pennsylvania, licensed in Pennsylvania (1171989) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295331791
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE MICHAEL SUTHERLANDCredential: PA-C
Location Address531 HANNAH STClearfield, PA 16830-1245
Mailing Address235 Harris AveBoalsburg, PA 16827-1239 · (814) 409-8652
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
NPI 1295331791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · 1171989
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
531 HANNAH ST, Clearfield, PA 16830

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

Kyle Michael Sutherland Pa-c 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 ID6901205145
PECOS Enrollment IDI20210520001826
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 3

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.
70 services51 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.
51 services44 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16830 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers32 claims67 services$5.40 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 7

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

Clinic/Center (Health Service)
531 HANNAH ST
CLEARFIELD, PA 16830
Internal Medicine
531 HANNAH ST
CLEARFIELD, PA 16830
Clinic/Center (Health Service)
531 HANNAH ST
CLEARFIELD, PA 16830
Clinic/Center (Multi-Specialty)
531 HANNAH ST
CLEARFIELD, PA 16830
Family Medicine
531 HANNAH ST
CLEARFIELD, PA 16830
Clinic/Center (Health Service)
531 HANNAH ST, SUITE C
CLEARFIELD, PA 16830
Internal Medicine
531 HANNAH ST
CLEARFIELD, PA 16830

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 Kyle Sutherland's NPI number?

The NPI number for Kyle Sutherland is 1295331791. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Kyle Sutherland located?

Kyle Sutherland practices at 531 Hannah St, Clearfield, PA 16830. The listed phone number is (814) 765-2261.

What is Kyle Sutherland's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle Sutherland enrolled in Medicare?

Yes. Kyle Sutherland 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 Kyle Sutherland affiliated with any hospitals?

According to CMS data, Kyle Sutherland is affiliated with Penn Highlands Huntingdon and Penn Highlands Dubois.

When was this NPI record last updated?

The NPPES record for Kyle Sutherland was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.