ERIC SUTPHEN MD
NPI 1932170859
Radiology - Radiation Oncology in Saint Louis, MO

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
68.57/100
CMS Quality Rating
450 N NEW BALLAS RD STE 70W, SAINT LOUIS, MO 63141(314) 227-2301(314) 227-2316 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eric Sutphen Md NPPES

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

ERIC SUTPHEN MD (NPI 1932170859) is an individual radiation oncology provider in Saint Louis, Missouri, licensed in Missouri (R2P24) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1987).

NPPES Registry Identity

NPI1932170859
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameERIC SUTPHENCredential: MD
Location Address450 N NEW BALLAS RD STE 70WSaint Louis, MO 63141-6833
Mailing Address215 Dunn RdFlorissant, MO 63031-7928 · (314) 315-9913 · Fax (314) 872-8069
Fax(314) 227-2316
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1987
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJanuary 16, 2015
NPI 1932170859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in MO · R2P24
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
450 N NEW BALLAS RD STE 70W, Saint Louis, MO 63141

Other Identifiers 5

Other$$$$$$$$$ -3IL · Il Dept Of Hc & Family Services
OtherP00146606MO · Railroad Medicare
Medicare PIN001014337MO
Medicaid203032628MO
Medicare UPINE85350MO

Accepted 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

Eric Sutphen Md 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 ID4082677232
PECOS Enrollment IDI20041115000186, I20160113002738
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 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.

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
4,026 services109 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
3,999 services107 patients
Continuing radiation therapy consultation per week 77336
Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.
810 services112 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
795 services112 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
328 services104 patients
Design and construction of radiation treatment device for high precision radiation therapy 77338
A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.
158 services102 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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.

68.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality38.95
Promoting Interoperability93
Improvement Activities40
Cost62.12

Reported Quality Measures

Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%75 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.

Other Providers at the Same Location NPPES 3

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

Radiology (Radiation Oncology)
450 N NEW BALLAS RD STE 70W
SAINT LOUIS, MO 63141
Radiology (Radiation Oncology)
450 N NEW BALLAS RD STE 70W
SAINT LOUIS, MO 63141
Clinic/Center (Oncology, Radiation)
450 N NEW BALLAS RD STE 70W
SAINT LOUIS, MO 63141

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 Eric Sutphen's NPI number?

The NPI number for Eric Sutphen is 1932170859. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Eric Sutphen located?

Eric Sutphen practices at 450 N New Ballas Rd Ste 70W, Saint Louis, MO 63141. The listed phone number is (314) 227-2301.

What is Eric Sutphen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Eric Sutphen enrolled in Medicare?

Yes. Eric Sutphen 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 Eric Sutphen accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Eric Sutphen 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.

When was this NPI record last updated?

The NPPES record for Eric Sutphen was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.