DR. BENJAMIN DAVID SUTKER MD
NPI 1407829476
Orthopaedic Surgery - Hand Surgery in Fort Mill, SC

Q: What is Benjamin Sutker's NPI number?

The NPI number for Benjamin Sutker is 1407829476. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Benjamin Sutker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Sutker was last updated on October 13, 2023. 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.

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

601 S SUTTON RD, STE 101, FORT MILL, SC 29715(803) 328-6306(803) 909-6451 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2023, May 21, 2018, Mar 19, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Benjamin David Sutker Md NPPES

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

DR. BENJAMIN DAVID SUTKER MD (NPI 1407829476) is an individual hand surgery provider in Fort Mill, South Carolina, licensed in South Carolina (30490) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1991).

NPPES Registry Identity

NPI1407829476

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. BENJAMIN DAVID SUTKERCredential: MD

Location Address601 S SUTTON RD, STE 101Fort Mill, SC 29715

Mailing Address4601 Park Rd Ste 300Charlotte, NC 28209-2290 · (704) 323-2000

Phone(803) 328-6306

Fax(803) 909-6451

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1991

Enumeration DateFebruary 9, 2006

Last NPPES UpdateOctober 13, 20234 updates tracked since enumeration

NPPES CertifiedOctober 13, 2023

✔ NPI 1407829476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

Licenses✔ Licensed in SC · 30490✔ Licensed in GA · 052639✔ Licensed in NC · 9701164

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 30490 (SC)

601 S SUTTON RD, Fort Mill, SC 29715

Open in Google Maps ↗

Other Identifiers 3

Other0397730048SC · Nsc

Medicaid304904SC

Medicaid143076031AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin David Sutker 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 ID6507853157

PECOS Enrollment IDI20080129000561, I20180424002602

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.

Medicare Billing Reassignments

Medicare enrollment records show Benjamin Sutker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthocarolina

3.2 mi

Orthopaedic Surgery

2633 CELANESE RD
Rock Hill, SC 29732

Reassigned Medicare billing, South Carolina and North Carolina enrollments
Also billed through NPI 1104843978 (North Carolina)
59 clinicians in this Medicare group

NPI 1790086825 (704) 323-2000

Optim Orthopedics, LLC

187 mi

Orthopaedic Surgery

8201 PINELLAS DRIVE
Bluffton, SC 29910

Reassigned Medicare billing, South Carolina enrollment
40 clinicians in this Medicare group

NPI 1528451481 (843) 705-9401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

544 services138 patients

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.

181 services145 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.

161 services161 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

126 services84 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

111 services97 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

83 services66 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

64 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

61 services61 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.

56 services52 patients

Aspiration and/or injection of fluid from medium joint using ultrasound guidance 20606

This is a procedure where a needle is guided by ultrasound into a medium-sized joint, like a knee or shoulder. The needle can be used to remove fluid, which can relieve pressure and pain, or to inject medication to help with inflammation and discomfort.

49 services40 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

37 services26 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

35 services30 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

31 services30 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

21 services16 patients

Release and/or relocation of hand nerve 64721

20 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 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.

20 services20 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

19 services19 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

16 services11 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420002

Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29715 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

2 suppliers31 claims31 services$44.20 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

2 suppliers36 claims36 services$66.32 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.

DR. MATTHEW CYRIL WENDT MD

Orthopaedic Surgery

601 S SUTTON RD, STE 101
FORT MILL, SC 29715

York County (803) 328-6306

ORTHOCAROLINA

Orthopaedic Surgery

601 S SUTTON RD, SUITE 101
FORT MILL, SC 29715

York County (803) 328-6306

KEVIN MICHAEL MCCULLOUGH PA-C

Physician Assistant

601 S SUTTON RD, STE 101
FORT NILL, SC 29715

York County (803) 328-6306

MR. JAMES FRANCESCO SCHNEIDER PA-C

Physician Assistant

601 S SUTTON RD, STE 101
FORT MILL, SC 29715

York County (803) 328-6303

DR. DAVID MATTHEW MACKNET M.D.

Orthopaedic Surgery

601 S SUTTON RD, STE 101
FORT MILL, SC 29715

York County (803) 328-6306

MICHAEL PATRICK ROBERTS PA-C

Physician Assistant

601 S SUTTON RD, STE 101
FORT MILL, SC 29715

York County (803) 328-6306

DR. EDWARD CHARLES BROWN III MD

Orthopaedic Surgery

601 S SUTTON RD, STE 101
FORT MILL, SC 29715

York County (803) 328-6306

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 Benjamin Sutker's NPI number?

The NPI number for Benjamin Sutker is 1407829476. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Benjamin Sutker located?

Benjamin Sutker practices at 601 S Sutton Rd Ste 101, Fort Mill, SC 29715. The listed phone number is (803) 328-6306.

What is Benjamin Sutker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Benjamin Sutker enrolled in Medicare?

Yes. Benjamin Sutker 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.

Which organizations bill Medicare for Benjamin Sutker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Sutker reassigns Medicare benefits to 2 organizations: Orthocarolina (Rock Hill, SC) and Optim Orthopedics, LLC (Bluffton, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Sutker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Sutker accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare and 2 other insurers list Benjamin Sutker 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 Benjamin Sutker affiliated with any hospitals?

According to CMS data, Benjamin Sutker is affiliated with Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Sutker was last updated on October 13, 2023. 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.