RICHARD FRANKLIN SUTHERLAND III
NPI 1588267488
Nurse Practitioner - Primary Care in Martinsburg, WV

Active since November 21, 2020PECOS EnrolledAccepts Medicare Assignment
91.43/100
CMS Quality Rating
1000 SUSHRUTA DR, MARTINSBURG, WV 25401(304) 263-3933(304) 596-5554 Get Directions Write a Review

NPPES record last updated: November 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Franklin Sutherland Iii NPPES

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

RICHARD FRANKLIN SUTHERLAND III (NPI 1588267488) is an individual primary care provider in Martinsburg, West Virginia, licensed in West Virginia (107829) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hagerstown, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1588267488
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameRICHARD FRANKLIN SUTHERLAND III
Location Address1000 SUSHRUTA DRMartinsburg, WV 25401-8876
Mailing Address1000 Sushruta DrMartinsburg, WV 25401-8876 · (304) 263-3933 · Fax (304) 596-5554
Fax(304) 596-5554
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 21, 2020
NPPES CertifiedNovember 21, 2020
NPI 1588267488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in WV · 107829
1000 SUSHRUTA DR, Martinsburg, WV 25401

Secondary Practice Location 1

Location 119236 Meadow View DrHagerstown, MD 21742-2924 · Phone (240) 347-4937 · Fax (240) 347-4950

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

Richard Franklin Sutherland Iii 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 ID7012320088
PECOS Enrollment IDI20210112001248, I20210202002617
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 18

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,721 services331 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.
1,003 services768 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
682 services514 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
547 services424 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
292 services249 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.
274 services274 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

91.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.97
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Advance Care Plan
76%1,617 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%135 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 1,073 patients
Patients screened: 98% · 1,073 patients
81%101 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%3,091 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Dermatology
1000 SUSHRUTA DR
MARTINSBURG, WV 25401
Dermatology
1000 SUSHRUTA DR
MARTINSBURG, WV 25401

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 Richard Sutherland's NPI number?

The NPI number for Richard Sutherland is 1588267488. It was assigned to this individual provider in the NPPES registry on November 21, 2020.

Where is Richard Sutherland located?

Richard Sutherland practices at 1000 Sushruta Dr, Martinsburg, WV 25401. The listed phone number is (304) 263-3933.

What is Richard Sutherland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Richard Sutherland enrolled in Medicare?

Yes. Richard Sutherland 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 Richard Sutherland accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Richard Sutherland 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 Richard Sutherland was last updated on November 21, 2020. 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.