MELISSA TOBE-SUTTON CNP
NPI 1871954230
Nurse Practitioner - Family in Sidney, OH

Active since March 14, 2016PECOS EnrolledAccepts Medicare Assignment
84.78/100
CMS Quality Rating
915 MICHIGAN ST, SIDNEY, OH 45365(937) 494-5933(937) 497-9917 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2020, Sep 16, 2020, Mar 14, 2016 (3 updates tracked since 2016).

About Melissa Tobe-sutton Cnp NPPES

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

MELISSA TOBE-SUTTON CNP (NPI 1871954230) is an individual family provider in Sidney, Ohio, licensed in Ohio (COA18806NP) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871954230
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA TOBE-SUTTONCredential: CNP
Location Address915 MICHIGAN STSidney, OH 45365-2401
Mailing Address915 Michigan StSidney, OH 45365-2401 · (937) 497-5665 · Fax (937) 497-5674
Fax(937) 497-9917
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 14, 2016
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1871954230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA18806NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.18806 (OH)
915 MICHIGAN ST, Sidney, OH 45365

Other Identifiers 1

Medicaid0165049OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Tobe-sutton Cnp 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 ID3971893066
PECOS Enrollment IDI20160601002437
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Melissa Tobe-sutton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
915 W. MICHIGAN STREET, SUITE 204
Sidney, OH 45365
  • Reassigned Medicare billing, Ohio enrollment
  • 69 clinicians in this Medicare group
Surgery
830 W HIGH ST STE 206
Lima, OH 45801
  • Reassigned Medicare billing, Ohio enrollment
  • 439 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
324 services74 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
276 services49 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
71 services30 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
58 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services34 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
32 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45365 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.09
Promoting Interoperability100
Improvement Activities40
Cost74.18

Referred Medical Equipment & Supplies CMS DME claims

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

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
5 suppliers19 claims295 services$9.38 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.

Specialist/Technologist (Athletic Trainer)
915 MICHIGAN ST
SIDNEY, OH 45365
Nurse Practitioner (Pediatrics)
915 MICHIGAN ST
SIDNEY, OH 45365
Nurse Practitioner (Family)
915 MICHIGAN ST
SIDNEY, OH 45365
Surgery
915 MICHIGAN ST
SIDNEY, OH 45365
Optometrist
915 MICHIGAN ST
SIDNEY, OH 45365
Pharmacist
915 MICHIGAN ST
SIDNEY, OH 45365
Obstetrics & Gynecology
915 MICHIGAN ST, YAGER BLDG. SUITE 202
SIDNEY, OH 45365
Specialist/Technologist (Athletic Trainer)
915 MICHIGAN ST
SIDNEY, OH 45365

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 Melissa Tobe-sutton's NPI number?

The NPI number for Melissa Tobe-sutton is 1871954230. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Melissa Tobe-sutton located?

Melissa Tobe-sutton practices at 915 Michigan St, Sidney, OH 45365. The listed phone number is (937) 494-5933.

What is Melissa Tobe-sutton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Tobe-sutton enrolled in Medicare?

Yes. Melissa Tobe-sutton 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.

Which organizations bill Medicare for Melissa Tobe-sutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Tobe-sutton reassigns Medicare benefits to 2 organizations: Wilson Care, LLC (Sidney, OH) and Mercy Health Physicians Lima Specialty Care LLC (Lima, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Tobe-sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Tobe-sutton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Melissa Tobe-sutton 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 Melissa Tobe-sutton affiliated with any hospitals?

According to CMS data, Melissa Tobe-sutton is affiliated with Lima Memorial Health System and Wilson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Tobe-sutton was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.