DR. RALPH MARC SUTHERLIN (D.O.) – Family Medicine Physician, NPI 1245291772
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 EMERGENCY MEDICINE in ID
Provider Addresses for DR. RALPH MARC SUTHERLIN (D.O.)
3340 E. GOLDSTONE WAY
MERIDIAN, ID 836421026
Phone: (208) 367-5189
Fax: (208) 367-5180
Type: Mailing
1593 E POLSTON AVE
POST FALLS, ID 838545326
Phone: (208) 262-2498
Fax: (208) 262-7461
Type: Mailing
622 W COLLEGE AVE STE 2
ST MARIES, ID 838611822
Phone: (208) 568-7800
Fax: (877) 902-7131
Type: Location
Saint Alphonsus Medical Group Meridian Health Plaza, 3025, West Cherry Lane, Meridian, Ada County, Idaho, 83642, United States
STE B
MERIDIAN, ID 836428531
Phone: (208) 367-8550
Fax: (208) 367-8555
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: 2008-12-23
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 |
|---|---|---|---|---|
| I20081223000505 | I | Emergency Medicine | ID | 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 |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 123 | 106 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 108 | 101 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 75 | 72 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 69 | 66 | $0 |
| 83036 | Hemoglobin a1c level | 46 | 43 | $0 |
Insurance plans in this area (ZIP 83642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Family Practice | ID |
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