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MRS. JACKIE JEAN SUTHERLAND DO
NPI 1720088347
Internal Medicine in Kennett, MO

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
90.97/100
CMS Quality Rating
603 TEACO ROAD, KENNETT, MO 63857(573) 717-7676(573) 717-7877 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jackie Jean Sutherland Do NPPES

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

MRS. JACKIE JEAN SUTHERLAND DO (NPI 1720088347) is an individual internal medicine provider in Kennett, Missouri, licensed in Missouri (2003013951) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Poplar Bluff Regional Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1720088347
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. JACKIE JEAN SUTHERLANDCredential: DO
Location Address603 TEACO ROADKennett, MO 63857-3266
Mailing Address603 Teaco Road.Kennett, MO 63857-3266 · (573) 717-7676 · Fax (573) 717-7877
Phone(573) 717-7676
Fax(573) 717-7877
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 26, 2005
Last NPPES UpdateSeptember 5, 2012
✔ NPI 1720088347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2003013951
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.
603 TEACO ROAD, Kennett, MO 63857
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Other Names 1

Former Name (1)Mrs. Jackie Jean Turner Do

Other Identifiers 5

Medicare UPINI15681MO
Other192785MO · Bcbs
Medicare UPINI15681
Medicaid209180900MO
Medicare PIN000092062

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Mrs. Jackie Jean Sutherland 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 ID4082682117
PECOS Enrollment IDI20040917000098
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 12

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 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.
724 services158 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
489 services84 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
179 services124 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
170 services103 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
50 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63857 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

90.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.24
Improvement Activities40
Cost59.93

Reported Quality Measures

Breast Cancer Screening
63%150 patients3/55-star benchmark: 100%
Controlling High Blood Pressure
94%306 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 309 patients
Patients screened: 100% · 309 patients
100%59 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
75%138 patients4/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%181 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers40 claims92 services$5.80 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier19 claims20 services$2.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers32 claims40 services$1.02 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers12 claims12 services$20.67 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers12 claims72 services$2.95 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers16 claims16 services$68.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jackie Sutherland's NPI number?

The NPI number for Jackie Sutherland is 1720088347. It was assigned to this individual provider in the NPPES registry on July 26, 2005. The provider is also known as Mrs. Jackie Jean Turner Do.

Where is Jackie Sutherland located?

Jackie Sutherland practices at 603 Teaco Road, Kennett, MO 63857. The listed phone number is (573) 717-7676.

What is Jackie Sutherland's specialty?

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

Is Jackie Sutherland enrolled in Medicare?

Yes. Jackie 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.

What insurance does Jackie Sutherland accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Jackie 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.

Is Jackie Sutherland affiliated with any hospitals?

According to CMS data, Jackie Sutherland is affiliated with Poplar Bluff Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jackie Sutherland was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.