JENNIFER L SUDDUTH (PA-C) – Medical Physician Assistant, NPI 1114941895
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
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Provider Addresses for JENNIFER L SUDDUTH (PA-C)
The Box, 4-6, Ram Place, Homerton, London Borough of Hackney, London, Greater London, England, E9 6LT, United Kingdom
LONDON, KY 407430936
Phone:
Fax: (606) 330-7825
Type: Mailing
1401, Harrodsburg Road, Headly Green, Lexington, Fayette County, Kentucky, 40504, United States
SUITE B-160
LEXINGTON, KY 405043751
Phone: (859) 276-4486
Fax: (859) 277-9164
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($28).
Total Amount
$76
General + Research + Ownership
Payments
4
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Actelion Pharmaceuticals US, Inc. | $28 |
| GlaxoSmithKline, LLC. | $18 |
| Novo Nordisk Inc | $17 |
| Exact Sciences Corporation | $13 |
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: 2010-12-09
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 |
|---|---|---|---|---|
| I20101209000087 | I | Physician Assistant | KY | 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 | 85 | 52 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 63 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 41 | $0 |
| G0008 | Administration of influenza virus vaccine | 27 | 27 | $0 |
| 83036 | Hemoglobin a1c level | 24 | 18 | $0 |
Insurance plans in this area (ZIP 40743)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | KY | 90670 | Pneumococcal vaccine for injection into muscle | 29 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KY | |
| General Surgery | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | KY | |
| N E U R O L O G Y | OH | |
| Clinical Social Worker | KY | |
| - | KY | |
| Surgical Oncology | OH |
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