JENNIFER LYN SUTHERLAND (M.D., M.P.H) – Family Medicine Physician, NPI 1063621829
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
Provider Addresses for JENNIFER LYN SUTHERLAND (M.D., M.P.H)
Shoreline Medical Center, 250, Flat Rock Place, Westbrook, Middlesex County, Connecticut, 06498, United States
2ND FL
WESTBROOK, CT 064981565
Phone: (860) 358-3640
Fax: (860) 358-8656
Type: Mailing
28 CRESCENT ST
MIDDLETOWN, CT 064573654
Phone: (860) 358-6000
Fax: (860) 358-8661
Type: Mailing
250 FLAT ROCK PLACE
PHYS OFF 1
WESTBROOK, CT 064983585
Phone: (860) 358-3640
Fax: (860) 358-8656
Type: Location
Middlesex Hospital, 28, Crescent Street, South Farms, Middletown, Middlesex County, Connecticut, 06457, United States
MIDDLETOWN, CT 064573654
Phone: (860) 358-4820
Fax: (860) 358-8661
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2014-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20140425001629 | I | Family Practice | CT | 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 |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 135 | 135 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 86 | $0 |
| 81003 | Automated urinalysis test | 40 | 38 | $0 |
| G0008 | Administration of influenza virus vaccine | 37 | 37 | $0 |
Insurance plans in this area (ZIP 06498)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Family Practice | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Family Practice | CT | |
| Physician Assistant | MA | |
| General Surgery | CT | |
| H O S P I T A L I S T | CT |
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