ALEXANDRA ANN SUTULA MD
NPI 1568968188
Family Medicine in Galloway, OH

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
990 GALLOWAY RD, GALLOWAY, OH 43119(614) 533-6770 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexandra Ann Sutula Md NPPES

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

ALEXANDRA ANN SUTULA MD (NPI 1568968188) is an individual family medicine provider in Galloway, Ohio, licensed in Ohio (35.143160) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568968188
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALEXANDRA ANN SUTULACredential: MD
Location Address990 GALLOWAY RDGalloway, OH 43119-8293
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
NPI 1568968188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35.143160
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.
990 GALLOWAY RD, Galloway, OH 43119

Other Names 1

Former Name (1)Alexandra Ann Fults-ganey

Secondary Practice Locations 2

Location 150 N Wilson RdColumbus, OH 43204-1214 · Phone (614) 702-7915
Location 22261 Philadelphia Dr Ste 301Dayton, OH 45406-1814 · Phone (937) 734-4141 · Fax (937) 277-7249

Accepted 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

Alexandra Ann Sutula 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 ID3173873940
PECOS Enrollment IDI20210825002101
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 5

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.
104 services50 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
59 services46 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.
44 services33 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.
30 services30 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43119 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Family Medicine
990 GALLOWAY RD
GALLOWAY, OH 43119
Family Medicine
990 GALLOWAY RD
GALLOWAY, OH 43119
Family Medicine
990 GALLOWAY RD
GALLOWAY, OH 43119
Family Medicine
990 GALLOWAY RD
GALLOWAY, OH 43119
Family Medicine
990 GALLOWAY RD
GALLOWAY, OH 43119
Nurse Practitioner (Family)
990 GALLOWAY RD
GALLOWAY, OH 43119

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 Alexandra Sutula's NPI number?

The NPI number for Alexandra Sutula is 1568968188. It was assigned to this individual provider in the NPPES registry on April 3, 2018. The provider is also known as Alexandra Ann Fults-Ganey.

Where is Alexandra Sutula located?

Alexandra Sutula practices at 990 Galloway Rd, Galloway, OH 43119. The listed phone number is (614) 533-6770.

What is Alexandra Sutula's specialty?

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

Is Alexandra Sutula enrolled in Medicare?

Yes. Alexandra Sutula 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 Alexandra Sutula accept?

Health plans from CareSource and MedMutual list Alexandra Sutula 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 Alexandra Sutula affiliated with any hospitals?

According to CMS data, Alexandra Sutula is affiliated with Riverside Methodist Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Alexandra Sutula was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.