JERRY PATRICK SKUTHAN DO
NPI 1700449295
Obstetrics & Gynecology in Raleigh, NC

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment
4414 LAKE BOONE TRL STE 402, RALEIGH, NC 27607(919) 567-6133(919) 567-6134 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2021, Apr 19, 2019 (2 updates tracked since 2019).

About Jerry Patrick Skuthan Do NPPES

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

JERRY PATRICK SKUTHAN DO (NPI 1700449295) is an individual obstetrics & gynecology provider in Raleigh, North Carolina, licensed in North Carolina (2025-02910) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2019).

NPPES Registry Identity

NPI1700449295
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJERRY PATRICK SKUTHANCredential: DO
Location Address4414 LAKE BOONE TRL STE 402Raleigh, NC 27607-7520
Mailing Address4414 Lake Boone Trl Ste 402Raleigh, NC 27607-7520 · (919) 567-6133 · Fax (919) 567-6134
Fax(919) 567-6134
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2019
Enumeration DateApril 19, 2019
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
NPI 1700449295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 2025-02910
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4414 LAKE BOONE TRL STE 402, Raleigh, NC 27607

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

Jerry Patrick Skuthan Do 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 ID941536379
PECOS Enrollment IDI20251016004977
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.

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
4414 LAKE BOONE TRL STE 402
RALEIGH, NC 27607
Advanced Practice Midwife
4414 LAKE BOONE TRL STE 402
RALEIGH, NC 27607
Nurse Practitioner (Family)
4414 LAKE BOONE TRL STE 402
RALEIGH, NC 27607
Advanced Practice Midwife
4414 LAKE BOONE TRL STE 402
RALEIGH, NC 27607
Advanced Practice Midwife
4414 LAKE BOONE TRL STE 402
RALEIGH, NC 27607
Advanced Practice Midwife
4414 LAKE BOONE TRL STE 402
RALEIGH, NC 27607

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 Jerry Skuthan's NPI number?

The NPI number for Jerry Skuthan is 1700449295. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Where is Jerry Skuthan located?

Jerry Skuthan practices at 4414 Lake Boone Trl Ste 402, Raleigh, NC 27607. The listed phone number is (919) 567-6133.

What is Jerry Skuthan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jerry Skuthan enrolled in Medicare?

Yes. Jerry Skuthan 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 Jerry Skuthan accept?

Health plans from Blue Cross and Blue Shield of NC list Jerry Skuthan 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 Jerry Skuthan affiliated with any hospitals?

According to CMS data, Jerry Skuthan is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Jerry Skuthan was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.