DONALD L SUTMILLER DO
NPI 1629052311
General Practice in Hominy, OK

Q: What is Donald Sutmiller's NPI number?

The NPI number for Donald Sutmiller is 1629052311. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is Donald Sutmiller's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Sutmiller was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 06, 2005PECOS Enrolled

119 W MAIN ST, HOMINY, OK 74035(918) 885-4640(918) 885-4644 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 28, 2017, Jan 6, 2017 (2 updates tracked since 2017).

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About Donald L Sutmiller Do NPPES

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

DONALD L SUTMILLER DO (NPI 1629052311) is an individual general practice provider in Hominy, Oklahoma, licensed in Oklahoma (2274) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629052311

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDONALD L SUTMILLERCredential: DO

Location Address119 W MAIN STHominy, OK 74035-1031

Mailing Address212 N Main StFairfax, OK 74637-3023 · (918) 642-3100 · Fax (918) 642-5639

Phone(918) 885-4640

Fax(918) 885-4644

Sole ProprietorNo

Enumeration DateDecember 6, 2005

Last NPPES UpdateDecember 28, 20172 updates tracked since enumeration

✔ NPI 1629052311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OK · 2274

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 2274 (OK)

119 W MAIN ST, Hominy, OK 74035

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Other Identifiers 1

Medicaid100135850AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald L Sutmiller Do 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 Donald Sutmiller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairfax Medical Facilities Inc

20 mi

Federally Qualified Health Center (FQHC)

212 N MAIN ST
Fairfax, OK 74637

Reassigned Medicare billing, Oklahoma enrollment
29 clinicians in this Medicare group

NPI 1538183173 (918) 642-3100

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

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers11 claims11 services$34.34 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$14.26 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$3.32 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers51 claims51 services$63.85 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers20 claims20 services$28.02 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$6.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

KISHA MARIE FARRELL APRN FNP-BC

Nurse Practitioner (Family)