SUSAN PAYNE ETHERIDGE MD
NPI 1952480527
Internal Medicine - Clinical Cardiac Electrophysiology in Palo Alto, CA

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
85.82/100
CMS Quality Rating
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 10, 2024, Sep 6, 2024, Dec 6, 2021 and 3 more (6 updates tracked since 2016).

About Susan Payne Etheridge Md NPPES

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

SUSAN PAYNE ETHERIDGE MD (NPI 1952480527) is an individual clinical cardiac electrophysiology provider in Palo Alto, California, licensed in California (G195183) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952480527
Entity TypeIndividualFemale
Primary Taxonomy207RC0001X
Provider Legal NameSUSAN PAYNE ETHERIDGECredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1987
Enumeration DateNovember 3, 2006
Last NPPES UpdateApril 29, 20256 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
NPI 1952480527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in CA · G195183
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License G195183 (CA)
725 WELCH RD, Palo Alto, CA 94304

Secondary Practice Locations 2

Location 1305 E Jefferson StBoise, ID 83712-6231 · Phone (208) 381-7370 · Fax (208) 381-7387
Location 281 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · Phone (801) 213-3599 · Fax (801) 213-7778

Other Identifiers 1

Medicaid1018632AK

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

Susan Payne Etheridge 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 ID9032002894
PECOS Enrollment IDI20141002002519, I20250422003398
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 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services13 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

85.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.86
Promoting Interoperability100
Improvement Activities40
Cost67.5

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.

Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304

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 Susan Etheridge's NPI number?

The NPI number for Susan Etheridge is 1952480527. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Susan Etheridge located?

Susan Etheridge practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Susan Etheridge's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Susan Etheridge enrolled in Medicare?

Yes. Susan Etheridge 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 Susan Etheridge accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Susan Etheridge 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 Susan Etheridge affiliated with any hospitals?

According to CMS data, Susan Etheridge is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Etheridge was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.