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DR. MARIA DANA SUTKUS DO
NPI 1447243100
Family Medicine in Sandwich, IL

Active since August 29, 2005PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1 E COUNTYLINE RD, SANDWICH, IL 60548(815) 786-2722(815) 786-6840 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Maria Dana Sutkus Do NPPES

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

DR. MARIA DANA SUTKUS DO (NPI 1447243100) is an individual family medicine provider in Sandwich, Illinois, licensed in Illinois (036082471) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1988).

NPPES Registry Identity

NPI1447243100
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIA DANA SUTKUSCredential: DO
Location Address1 E COUNTYLINE RDSandwich, IL 60548-2178
Mailing Address1 E Countyline RdSandwich, IL 60548-2178 · (815) 786-2722 · Fax (815) 786-6840
Phone(815) 786-2722
Fax(815) 786-6840
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1988
Enumeration DateAugust 29, 2005
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1447243100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036082471
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.
1 E COUNTYLINE RD, Sandwich, IL 60548
Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Maria Dana Grauthier Do

Other Identifiers 2

Medicaid036082471IL
Other19621614IL · Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Maria Dana Sutkus Do 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 ID345303103
PECOS Enrollment IDI20090106000466
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 6

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.
78 services43 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.
44 services44 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.
29 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services12 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Valley West Community Hospital

Critical Access Hospitals · Sandwich, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141340
Location1301 North Main StreetSandwich, IL 60548 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60548 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

DR. RICHARD W MASON DO
Surgery
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
DR. KENNETH J KAVANAUGH DO
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
EDWARD HEALTH VENTURES
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
DR. MARK DONALD WEINHOLD D.D.S.
Dentist (General Practice)
1 E COUNTYLINE RD, SUITE A
SANDWICH, IL 60548
Dekalb County (815) 786-2185
PRAIRIE HEALTHCARE, LTD
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
REZIN ORTHOPEDIC AND SPORTS MEDICINE, SC
Durable Medical Equipment & Medical Supplies
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-1517
DR. ERIC J JANOTA DO
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
DR. DANIEL D GAUTHIER DO
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722

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 Maria Sutkus's NPI number?

The NPI number for Maria Sutkus is 1447243100. It was assigned to this individual provider in the NPPES registry on August 29, 2005. The provider is also known as Mrs. Maria Dana Grauthier Do.

Where is Maria Sutkus located?

Maria Sutkus practices at 1 E Countyline Rd, Sandwich, IL 60548. The listed phone number is (815) 786-2722.

What is Maria Sutkus's specialty?

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

Is Maria Sutkus enrolled in Medicare?

Yes. Maria Sutkus 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 Maria Sutkus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Maria Sutkus 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 Maria Sutkus affiliated with any hospitals?

According to CMS data, Maria Sutkus is affiliated with Edward Hospital and Valley West Community Hospital.

When was this NPI record last updated?

The NPPES record for Maria Sutkus was last updated on March 8, 2021. 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.