RICHARD FRANKLIN SUTHERLAND III
NPI 1588267488
Nurse Practitioner - Primary Care in Martinsburg, WV
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Richard Sutherland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Martinsburg, WV 25401
- Reassigned Medicare billing, Maryland and West Virginia enrollments
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Reported Quality Measures
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.
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.
Which organization bills Medicare for Richard Sutherland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Sutherland reassigns Medicare benefits to Center For Dermatology - Erik B Hurst (Martinsburg, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Sutherland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Richard Franklin Sutherland III · NPI 1588267488
Primary Care physician in Martinsburg, West Virginia. Individual provider, active in the CMS NPPES registry since November 21, 2020.
## Identity
- **NPI:** 1588267488 (Entity type: Individual)
- **Enumerated:** November 21, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 107829 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 SUSHRUTA DR, Martinsburg, WV 25401-8876
- **Phone:** (304) 263-3933 · **Fax:** (304) 596-5554
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Center For Dermatology - Erik B Hurst (NPI 1275729816, Martinsburg, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1588267488) · Data from the CMS NPPES public registry.