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ELIZABETH HART SUGDEN MD
NPI 1356485767
Family Medicine in Jerome, ID

Active since February 18, 2007PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
132 5TH AVE W, JEROME, ID 83338(208) 324-5286(208) 324-9815 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Hart Sugden Md NPPES

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

ELIZABETH HART SUGDEN MD (NPI 1356485767) is an individual family medicine provider in Jerome, Idaho, licensed in Idaho (M5431) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1981).

NPPES Registry Identity

NPI1356485767
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH HART SUGDENCredential: MD
Location Address132 5TH AVE WJerome, ID 83338-1825
Mailing AddressPo Box 587Twin Falls, ID 83303-0587 · (208) 814-7400 · Fax (208) 814-7491
Phone(208) 324-5286
Fax(208) 324-9815
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1981
Enumeration DateFebruary 18, 2007
Last NPPES UpdateJanuary 8, 2015
✔ NPI 1356485767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M5431
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.
132 5TH AVE W, Jerome, ID 83338
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Other Identifiers 14

Other080064467ID · Medicare Railroad
Other1120618ID · State Insurance Fund
Medicaid003943200ID
Other000010001456ID · Blue Shield Of Idaho
Medicare UPIND48993ID
Other000010142921ID · Blue Shield Of Idaho
Medicare PIN1120618ID
Medicare OSCAR/certification1372609ID
Other820227163B002ID · Tricare
Other54312ID · Blue Cross Of Idaho
Other820227163B002ID · Tri Care
Other820227163G013ID · Tricare
Medicare PIN20001272ID
OtherJ8499ID · Blue Cross Of Idaho

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Elizabeth Hart Sugden 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 ID4284670795
PECOS Enrollment IDI20050706001097
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 83338 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$13.52 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$47.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$79.62 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 8

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

DR. JAMES S IRWIN M.D.
Family Medicine
132 5TH AVE W, SUITE 1
JEROME, ID 83338
Jerome County (208) 814-9800
MRS. MELISSA D MERRILL CNM, WHNP
Nurse Practitioner (Women's Health)
132 5TH AVE W
JEROME, ID 83338
Jerome County (208) 324-5286
ALICE R. TRABERT F.N.P.
Nurse Practitioner (Family)
132 5TH AVE W, SUITE 1
JEROME, ID 83338
Jerome County (208) 814-9800
DR. JOSHUA WILLIAM KERN M.D.
Family Medicine
132 5TH AVE W, SUITE 1
JEROME, ID 83338
Jerome County (208) 814-9800
RACHEL BORDEWYK MS, LPC
Counselor
132 5TH AVE W
JEROME, ID 83338
Jerome County (208) 814-9800
JAMES D. LOHMANN M.D.
Family Medicine
132 5TH AVE W, SUITE 2
JEROME, ID 83338
Jerome County (208) 814-9800
JOSHUA TED HANSEN D.O.
Family Medicine
132 5TH AVE W
JEROME, ID 83338
Jerome County (208) 814-9800
JUSTIN G SMITH MD
Family Medicine
132 5TH AVE W, SUITE 1
JEROME, ID 83338
Jerome County (208) 814-9800

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 Elizabeth Sugden's NPI number?

The NPI number for Elizabeth Sugden is 1356485767. It was assigned to this individual provider in the NPPES registry on February 18, 2007.

Where is Elizabeth Sugden located?

Elizabeth Sugden practices at 132 5th Ave W, Jerome, ID 83338. The listed phone number is (208) 324-5286.

What is Elizabeth Sugden's specialty?

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

Is Elizabeth Sugden enrolled in Medicare?

Yes. Elizabeth Sugden 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 Elizabeth Sugden accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Elizabeth Sugden 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 Elizabeth Sugden was last updated on January 8, 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.