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BEN A. SUTTER DMD
NPI 1457426538
Dentist - General Practice in Keizer, OR

Active since November 22, 2006Opted out of Medicare · through Jun 9, 2027
4734 RIVER RD N, KEIZER, OR 97303(503) 463-4663(503) 463-4666 Get Directions Write a Review

NPPES record last updated: November 19, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ben A. Sutter Dmd NPPES

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

BEN A. SUTTER DMD (NPI 1457426538) is an individual general practice provider in Keizer, Oregon, licensed in Oregon (D8728) and active in the NPI registry since November 2006. He has opted out of Medicare through June 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457426538
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBEN A. SUTTERCredential: DMD
Location Address4734 RIVER RD NKeizer, OR 97303-4536
Mailing Address4734 River Rd NKeizer, OR 97303-4536 · (503) 463-4663 · Fax (503) 463-4666
Phone(503) 463-4663
Fax(503) 463-4666
Sole ProprietorYes
Enumeration DateNovember 22, 2006
Last NPPES UpdateNovember 19, 2010
✔ NPI 1457426538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D8728
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4734 RIVER RD N, Keizer, OR 97303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Ben A. Sutter Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2015 through June 9, 2027.

Opt-Out Effective DateJune 9, 2015
Opt-Out In Effect ThroughJune 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97303 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 6

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

JADA HATCHETT
Physical Therapy Assistant
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 967-7874
TIMOTHY R. HARBOLT, DMD
Dentist (General Practice)
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 463-4663
NORTHWEST DENTAL ARTS PC
Dentist
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 463-4663
DR. LISA M GITELSON DMD
Dentist (General Practice)
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 463-4663
LISA M GITELSON DMD PC
Clinic/Center (Dental)
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 463-4663
ALICIA LOPEZ
Physical Therapy Assistant
4734 RIVER RD N
KEIZER, OR 97303
Marion County (503) 967-7874

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 Ben Sutter's NPI number?

The NPI number for Ben Sutter is 1457426538. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Ben Sutter located?

Ben Sutter practices at 4734 River Rd N, Keizer, OR 97303. The listed phone number is (503) 463-4663.

What is Ben Sutter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ben Sutter enrolled in Medicare?

No. Ben Sutter has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ben Sutter accept?

Health plans from PacificSource Health Plans list Ben Sutter 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 Ben Sutter was last updated on November 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.