CAROLINE H SUDBAY P.A.
NPI 1851727549
Physician Assistant in Colorado Springs, CO

Active since September 25, 2013Opted out of Medicare · through Apr 1, 2028
421 S TEJON ST STE 250, COLORADO SPRINGS, CO 80903(719) 623-3068(719) 354-2212 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caroline H Sudbay P.a. NPPES

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

CAROLINE H SUDBAY P.A. (NPI 1851727549) is an individual physician assistant in Colorado Springs, Colorado, licensed in Colorado (3802) and active in the NPI registry since September 2013. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851727549
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLINE H SUDBAYCredential: P.A.
Location Address421 S TEJON ST STE 250Colorado Springs, CO 80903-2139
Mailing Address6945 Tutt BlvdColorado Springs, CO 80923-3566 · (719) 380-7325 · Fax (719) 354-2212
Fax(719) 354-2212
Sole ProprietorNo
Enumeration DateSeptember 25, 2013
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
NPI 1851727549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · 3802
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
421 S TEJON ST STE 250, Colorado Springs, CO 80903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Caroline H Sudbay P.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80903 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 5

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

Physician Assistant (Medical)
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903
Behavior Analyst
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903
Family Medicine
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903
Family Medicine
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903
Family Medicine
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903

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 Caroline Sudbay's NPI number?

The NPI number for Caroline Sudbay is 1851727549. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Caroline Sudbay located?

Caroline Sudbay practices at 421 S Tejon St Ste 250, Colorado Springs, CO 80903. The listed phone number is (719) 623-3068.

What is Caroline Sudbay's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Caroline Sudbay enrolled in Medicare?

No. Caroline Sudbay has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Caroline Sudbay was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.