DR. STEPHEN D SUDDERTH MD
NPI 1528096849
Surgery in Vicksburg, MS

Q: What is Stephen Sudderth's NPI number?

The NPI number for Stephen Sudderth is 1528096849. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Stephen Sudderth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Sudderth was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 28, 2006PECOS Enrolled

188 YMCA PL, VICKSBURG, MS 39183(601) 636-7222(601) 636-0440 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Stephen D Sudderth Md NPPES

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

DR. STEPHEN D SUDDERTH MD (NPI 1528096849) is an individual surgery provider in Vicksburg, Mississippi, licensed in Mississippi (17597) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528096849

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. STEPHEN D SUDDERTHCredential: MD

Location Address188 YMCA PLVicksburg, MS 39183-3536

Mailing Address188 Ymca PlVicksburg, MS 39183-3536 · (601) 636-7222 · Fax (601) 636-0440

Phone(601) 636-7222

Fax(601) 636-0440

Sole ProprietorYes

Enumeration DateJune 28, 2006

Last NPPES UpdateFebruary 21, 2014

✔ NPI 1528096849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MS · 17597

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

188 YMCA PL, Vicksburg, MS 39183

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Other Identifiers 3

Medicare UPINF78937MS

Medicaid00126115MS

Medicaid1986712LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen D Sudderth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 39183 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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 3

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

MRS. LEAH JONES CALDER PA-C

Physician Assistant

188 YMCA PL
VICKSBURG, MS 39183

Warren County (601) 630-3376

JULIA GREEN VARNIER PA-C

Physician Assistant

188 YMCA PL
VICKSBURG, MS 39183

Warren County (601) 636-7222

RIVER CITY DERMATOLOGY AND AESTHETICS LLC

Dermatology

188 YMCA PL
VICKSBURG, MS 39183

Warren County (601) 540-4025

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 Stephen Sudderth's NPI number?

The NPI number for Stephen Sudderth is 1528096849. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Stephen Sudderth located?

Stephen Sudderth practices at 188 Ymca Pl, Vicksburg, MS 39183. The listed phone number is (601) 636-7222.

What is Stephen Sudderth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stephen Sudderth enrolled in Medicare?

Yes. Stephen Sudderth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Sudderth was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.