DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.) – Retina Specialist (Ophthalmology) Physician, NPI 1942463252

DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.) is a healthcare provider. based in Grand rapids, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101017636 (MI). The NPI Number for DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.) is 1942463252

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.)
NPI
1942463252
Phone
(616) 954-2020
Address
5030 CASCADE RD SE
Enumeration Date
7 July 2008
Last Update Date
26 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6169542020
Graduation Year
2008 (18 years ago)
PAC ID
9032373295
Group Practice PAC ID
9436211919
Professional Enrollment ID
I20120619000654
Address ID
MI495463725GR5030XSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

844 OPHTHALMOLOGY in MI

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Provider Addresses for DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.)

  • 5030, Cascade Road Southeast, Ada Township, Kent County, Michigan, 49546, United States

    GRAND RAPIDS, MI 495463725

    Phone: (616) 954-2020

    Fax: (616) 949-0408

    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)

CMS reports 64 Open Payments records for all available years, with a total value of $5,132.

Total Amount is formed as General ($5,132) + Research ($0) + Ownership ($0) = $5,132.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: EyePoint Pharmaceuticals US, Inc. ($3,080).

Total Amount

$5,132

General + Research + Ownership

Payments

64

Total payment records

General Amount

$5,132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-06-19

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
I20120619000654IOphthalmologyMITBD

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
92134Imaging of retina1,025372$0
J0178Injection, aflibercept, 1 mg95899$0
67028Injection of drug into eye725188$0
J3590Unclassified biologics31286$0
92014Established patient complete exam of visual system280210$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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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: 9436211919View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.)?
NPI 1942463252 is assigned to DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.) under the national enumeration system.
Does this profile mean DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.) is currently active?
Yes — DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.) appears active in the national provider directory.
Does DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.) list a primary specialty?
If you are matching referrals, note Retina Specialist (Ophthalmology) Physician for DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.)?
The snapshot lists Grand Rapids, Michigan for DR. LILIYA SHEVCHENKO SUTHERLAND (D.O.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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