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SUZANNE COTTER
NPI 1609804137
Internal Medicine in Pottsville, PA

Active since June 30, 2006PECOS Enrolled
79.95/100
CMS Quality Rating
106 S CLAUDE A BLVD, POTTSVILLE, PA 17901(570) 728-2424(570) 728-2425 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2022, Feb 7, 2022 (2 updates tracked since 2022).

About Suzanne Cotter NPPES

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

SUZANNE COTTER (NPI 1609804137) is an individual internal medicine provider in Pottsville, Pennsylvania, licensed in Pennsylvania (MD469554) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609804137
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUZANNE COTTER
Location Address106 S CLAUDE A BLVDPottsville, PA 17901-3639
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (570) 501-6368 · Fax (570) 501-4754
Phone(570) 728-2424
Fax(570) 728-2425
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1609804137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD469554
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License D0054995 (MD)
106 S CLAUDE A BLVD, Pottsville, PA 17901
Open in Google Maps ↗

Other Identifiers 3

Medicaid536403500MD
Medicaid103982530-0001PA
Medicaid022004300MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne Cotter 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.

Medicare Billing Reassignment

Medicare enrollment records show Suzanne Cotter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Schuylkill Health System Medical Group, Inc.
4.7 mi
Internal Medicine
205 E LAUREL BLVD
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1588603567 (570) 622-1887

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.91
Promoting Interoperability87
Improvement Activities40
Cost61.81

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 Suzanne Cotter's NPI number?

The NPI number for Suzanne Cotter is 1609804137. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Suzanne Cotter located?

Suzanne Cotter practices at 106 S Claude A Blvd, Pottsville, PA 17901. The listed phone number is (570) 728-2424.

What is Suzanne Cotter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Suzanne Cotter enrolled in Medicare?

Yes. Suzanne Cotter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suzanne Cotter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Cotter reassigns Medicare benefits to Schuylkill Health System Medical Group, Inc. (Pottsville, PA). 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 Suzanne Cotter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Suzanne Cotter was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.