DR. LORILEE SMITH SUTTER (M.D.) – Rheumatology Physician, NPI 1114906435
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
759 RHEUMATOLOGY in CA
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Provider Addresses for DR. LORILEE SMITH SUTTER (M.D.)
1429, College Avenue, Aurora, Modesto, Stanislaus County, California, 95350, United States
STE C
MODESTO, CA 953504046
Phone: (209) 524-1666
Fax: (209) 524-1558
Type: Mailing
PO BOX 3037
PALM SPRINGS, CA 922633037
Phone: (760) 320-8814
Fax: (760) 416-6999
Type: Mailing
275 N. EL CEILO RD
PALM SPRINGS, CA 922626955
Phone: (760) 320-8814
Fax: (760) 416-6999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,568.
Total Amount is formed as General ($1,568) + Research ($0) + Ownership ($0) = $1,568.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($496).
Total Amount
$1,568
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $496 |
| Amgen Inc. | $351 |
| GlaxoSmithKline, LLC. | $245 |
| UCB, Inc. | $214 |
| Radius Health, Inc. | $89 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101101000609 | I | Rheumatology | CA | TBD |
| I20210908003610 | I | Rheumatology | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 96 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 33 | 20 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 23 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 95350)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Family Practice | CA | |
| Mental Health Counselor | TX | |
| Orthopedic Surgery, Sports Medicine | CA | |
| Family Practice | CA | |
| - | CA | |
| N E P H R O L O G Y | CA | |
| Internal Medicine | NJ |
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