DR. DAVID B SUDDERTH (M.D.) – Neurology Physician, NPI 1902805856

DR. DAVID B SUDDERTH (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. ME55197 (FL). The NPI Number for DR. DAVID B SUDDERTH (M.D.) is 1902805856

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID B SUDDERTH (M.D.)
NPI
1902805856
Phone
(239) 936-6778
Address
3210 CLEVELAND AVE
Enumeration Date
21 July 2005
Last Update Date
18 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
23993667782227
Graduation Year
1984 (42 years ago)
PAC ID
6901704006
Group Practice PAC ID
5799676193
Professional Enrollment ID
I20040115000910
Address ID
FL339017182FO3210XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,847 NEUROLOGY in FL

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Provider Addresses for DR. DAVID B SUDDERTH (M.D.)

  • 3210, Cleveland Avenue, Edison Park Historic District, Fort Myers, Lee County, Florida, 33901, United States

    SUITE 100

    FORT MYERS, FL 339017182

    Phone: (239) 936-6778

    Fax: (239) 210-0225

    Mailing address matches the actual address.

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: 2004-01-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040115000910INeurologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95886Needle measurement of electrical activity in arm or leg muscles, complete study6055$0
95910Nerve conduction, 7-8 studies3231$0
95911Nerve conduction, 9-10 studies1111$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799676193View full group profile

Reviews

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Frequently asked questions

Does DR. DAVID B SUDDERTH (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DAVID B SUDDERTH (M.D.) uses 1902805856.
Does CMS list DR. DAVID B SUDDERTH (M.D.) as active?
Yes — DR. DAVID B SUDDERTH (M.D.) is active in the NPI listing used on this page.
What is DR. DAVID B SUDDERTH (M.D.)'s specialty?
The listing groups DR. DAVID B SUDDERTH (M.D.) with Neurology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. DAVID B SUDDERTH (M.D.) serve?
DR. DAVID B SUDDERTH (M.D.)'s listing highlights Fort Myers, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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