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MR. TODD RYAN SUDIK CRNP
NPI 1710517560
Nurse Practitioner in Du Bois, PA

Active since January 21, 2020PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 375-3770(814) 375-3772 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2020, Jan 21, 2020 (2 updates tracked since 2020).

About Mr. Todd Ryan Sudik Crnp NPPES

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

MR. TODD RYAN SUDIK CRNP (NPI 1710517560) is an individual nurse practitioner in Du Bois, Pennsylvania, licensed in Pennsylvania (SP021318) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710517560
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. TODD RYAN SUDIKCredential: CRNP
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-3770 · Fax (814) 375-3772
Phone(814) 375-3770
Fax(814) 375-3772
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 21, 2020
Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration
✔ NPI 1710517560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP021318
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 HOSPITAL AVE, Du Bois, PA 15801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mr. Todd Ryan Sudik Crnp 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 ID446688295
PECOS Enrollment IDI20200310002196
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
401 services278 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
320 services227 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
94 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability91
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 18

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
8 suppliers24 claims24 services$42.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers22 claims22 services$119.12 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers17 claims38 services$42.20 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers19 claims19 services$70.66 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers26 claims26 services$21.44 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
11 suppliers38 claims191 services$2.65 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 20

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

SUSAN M. MITCHELL CRNP
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3770
NICHOLAS E SIPES PA-C
Physician Assistant
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3261
NICHOLE ELISE ANDERSON FNP-C
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3770
RAINTREE MRI SERVICES INC
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 371-1784
DR. PAUL J VALIGORSKY II M.D.
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3034
ZEKE DAVID FEYOCK
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-6440
RHONDA K MCCONNELL BSN, RN
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 375-3890
BRANDY DANIELLE HETRICK NP
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Clearfield County (814) 371-2200

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 Todd Sudik's NPI number?

The NPI number for Todd Sudik is 1710517560. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Todd Sudik located?

Todd Sudik practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 375-3770.

What is Todd Sudik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Todd Sudik enrolled in Medicare?

Yes. Todd Sudik 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 Todd Sudik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Todd Sudik 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 Todd Sudik affiliated with any hospitals?

According to CMS data, Todd Sudik is affiliated with Penn Highlands Huntingdon, Penn Highlands Dubois, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Todd Sudik was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.