SUZANNE O DATER (MD) – Internal Medicine Physician, NPI 1225009830

SUZANNE O DATER (MD) is a healthcare provider. based in South portland, Maine. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD15341 (ME). The NPI Number for SUZANNE O DATER (MD) is 1225009830

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE O DATER (MD)
NPI
1225009830
Phone
(207) 828-0361
Address
100 FODEN RD, WEST
Enumeration Date
31 January 2006
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
2078741489
Graduation Year
1996 (30 years ago)
PAC ID
2365415767
Group Practice PAC ID
5092605261
Professional Enrollment ID
I20040813001232
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for SUZANNE O DATER (MD)

  • 100 FODEN RD, WEST

    SUITE 203

    SOUTH PORTLAND, ME 041062327

    Phone: (207) 828-0361

    Fax: (207) 874-1483

    Type: Mailing

  • 101 PORTLAND RD

    BRIDGTON, ME 040091256

    Phone: (207) 255-7552

    Fax: (207) 569-6150

    Type: Location

  • Intermed Building, 84, Marginal Way, Downtown, Portland, Cumberland County, Maine, 04101, United States

    SUITE 800

    PORTLAND, ME 04101

    Phone: (207) 774-5816

    Fax: (207) 523-8595

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
36415Insertion of needle into vein for collection of blood sample216130$0
80053Blood test, comprehensive group of blood chemicals131110$0
99214Established patient office or other outpatient visit, 30-39 minutes11689$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count11490$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100100$0
View full utilization report →

Insurance plans in this area (ZIP 04106)

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Provider's Procedures

SUZANNE O DATER (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEME83036Hemoglobin A1C level13087
INTERNAL MEDICINEME85610Blood test, clotting time10818

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: 5092605261View full group profile
NameSpecialtyState
-ME
P S Y C H I A T R YME
Physical Therapist In Private PracticeME
Family Practice, Sports MedicineME
Family PracticeME
Nurse PractitionerME
Family PracticeME
-ME
-ME
Internal MedicineME

Reviews

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Frequently asked questions

How is SUZANNE O DATER (MD) identified in CMS data?
CMS-hosted NPPES data lists SUZANNE O DATER (MD) with NPI 1225009830.
Does the file indicate SUZANNE O DATER (MD) is practicing under active NPI?
Directory data currently reports SUZANNE O DATER (MD) as active.
What taxonomy line describes SUZANNE O DATER (MD)?
For research purposes, treat SUZANNE O DATER (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does SUZANNE O DATER (MD) serve?
SUZANNE O DATER (MD)'s listing highlights South Portland, Maine; more addresses can appear in NPPES.
Why does SUZANNE O DATER (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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