DR. T SHARMAN SUTHERLAND M.D. NPI 1750315966
Family Medicine in South Ogden, UT

About DR. T SHARMAN SUTHERLAND M.D.

T Sutherland is a primary care provider established in South Ogden, Utah and his medical specialization is Family Medicine with more than 32 years of experience. He graduated from University Of Utah School Of Medicine in 1991. The NPI number of this provider is 1750315966 and was assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 993806671205 (UT). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1750315966
Provider NameDR. T SHARMAN SUTHERLAND M.D.
Location Address975 CHAMBERS ST SOUTH OGDEN, UT 84403
Location Phone(801) 387-6200
Mailing AddressPO BOX 27128 SALT LAKE CITY, UT 84127
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year1991
Is Sole Proprietor?No
Enumeration Date07-11-2006
Last Update Date02-26-2008

A primary care provider (PCP) like T Sutherland sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc T Sutherland is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

T Sutherland is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mckay Dee Hospital and Layton Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.68 for a new patient copayment and $25.08 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.993806671205
License StateUT
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

975 CHAMBERS ST
SOUTH OGDEN, UT
ZIP 84403
Phone: (801) 387-6200

Get Directions


Mailing Address

PO BOX 27128
SALT LAKE CITY, UT
ZIP 84127
Phone: (801) 387-6200


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4688746894
PECOS Enrollment IDI20080703000265
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 84403 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.18 $171.82 $86.74
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.04 $42.95 $21.68
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.3 $140.3 $100.32
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.07 $25.08

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 349Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 178Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 160Hemoglobin A1C level (HCPCS:83036)
  • 117Administration of influenza virus vaccine (HCPCS:G0008)
  • 92Automated urinalysis test (HCPCS:81003)
  • 75Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 70Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 67Administration of pneumococcal vaccine (HCPCS:G0009)
  • 30Destruction of 2-14 skin growths (HCPCS:17003)
  • 22Destruction of skin growth (HCPCS:17000)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. T Sutherland is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MCKAY DEE HOSPITAL4401 HARRISON BOULEVARD
OGDEN, UT 84403
(801) 387-2800Acute Care Hospitals460004
LAYTON HOSPITAL201 WEST LAYTON PARKWAY
LAYTON, UT 84041
(801) 543-6703Acute Care Hospitals460061

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
005522014MEDICARE PIN (08)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750315966
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271006110912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 1 + 1 + 0 + 9 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750315966 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528081114DR. JOHN S FRIDEN MD
Individual
Family Medicine975 CHAMBERS ST
OGDEN, UT 84403
(801) 387-6200
1740377225DR. NEVIN BRENT WILLIAMS M.D.
Individual
Family Medicine975 CHAMBERS ST
OGDEN, UT 84403
(801) 387-6200
1013077379 BETTY H. YAMASHITA RPH
Individual
Pharmacist975 CHAMBERS ST
OGDEN, UT 84403
(801) 387-6300
1932247764 SANDRA TRIERWEILER RPH
Individual
Pharmacist975 CHAMBERS ST IHC PHARMACY
SOUTH OGDEN, UT 84403
(801) 387-6300
1922143643IHC HEALTH SERVICES INC
Organization
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1053456673IHC HEALTH SERVICES INC
Organization
Emergency Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1831337732IHC HEALTH SERVICES INC
Organization
Clinic/Center (Multi-Specialty)975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-5641
1366462913DR. RICHARD G HALL M.D.
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1841232352IHC HEALTH SERVICES, INC
Organization
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1689608895DR. L SCOTT CARDON M.D.
Individual
Emergency Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1336568666 MATTHEW MARINER BINGHAM M.D.
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 442-3059
1508278615 KURT OLAVESON
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1619928140 DAVID S AAMODT MD
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200
1891354080 ALEXANDER OLSEN
Individual
Family Medicine975 CHAMBERS ST
SOUTH OGDEN, UT 84403
(801) 387-6200

Frequently Asked Questions

What is Dr. T Sutherland M.D. NPI number?

The NPI number assigned to this healthcare provider is 1750315966, registered as an "individual" on July 11, 2006

Where is Dr. T Sutherland M.D. located?

The provider is located at 975 Chambers St South Ogden, Ut 84403 and the phone number is (801) 387-6200

Which is Dr. T Sutherland M.D. specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. T Sutherland M.D. have?

The provider has more than 32 years of experience. He graduated from University Of Utah School Of Medicine in 1991.

What insurance does Dr. T Sutherland M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. T Sutherland M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. T Sutherland M.D.?

Medicare beneficiaries should expect a typical cost of $86.74 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $100.32 and an average copayment of 25.08. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. T Sutherland M.D.?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Complete blood cell count (red cells, white blood cell, platelets), automated test, Hemoglobin A1C level, Administration of influenza virus vaccine, Automated urinalysis test, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Pneumococcal vaccine for injection into muscle, Administration of pneumococcal vaccine, Destruction of 2-14 skin growths and Destruction of skin growth.

Is Dr. T Sutherland M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: MCKAY DEE HOSPITAL and LAYTON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. T Sutherland M.D. was last updated on July 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]