AMY SUDOL
NPI 1811450604
Internal Medicine in Montgomery, PA

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
45 PARK DRIVE, ROUTE 405, MONTGOMERY, PA 17752(570) 546-4062 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2023, Apr 9, 2019 (2 updates tracked since 2019).

About Amy Sudol NPPES

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

AMY SUDOL (NPI 1811450604) is an individual internal medicine provider in Montgomery, Pennsylvania, licensed in Pennsylvania (MD478986) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811450604
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAMY SUDOL
Location Address45 PARK DRIVE, ROUTE 405Montgomery, PA 17752-8533
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900 · (888) 647-9600
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
NPI 1811450604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD478986
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.

45 PARK DRIVE, Montgomery, PA 17752

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

Amy Sudol 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 ID2264803535
PECOS Enrollment IDI20230124002241
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 7

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.
157 services90 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.
53 services41 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
37 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services25 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Upmc Muncy

Critical Access Hospitals · Muncy, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391301
Location215 East Water StreetMuncy, PA 17756 · Lycoming County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17752 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES

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

Family Medicine
45 PARK DRIVE, ROUTE 405
MONTGOMERY, PA 17752

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 Amy Sudol's NPI number?

The NPI number for Amy Sudol is 1811450604. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Amy Sudol located?

Amy Sudol practices at 45 Park Drive Route 405, Montgomery, PA 17752. The listed phone number is (570) 546-4062.

What is Amy Sudol's specialty?

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

Is Amy Sudol enrolled in Medicare?

Yes. Amy Sudol 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.

Is Amy Sudol affiliated with any hospitals?

According to CMS data, Amy Sudol is affiliated with Geisinger Medical Center, Upmc Williamsport and Upmc Muncy.

When was this NPI record last updated?

The NPPES record for Amy Sudol was last updated on January 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.