SUE-MI C TUTTLE (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1447442702

SUE-MI C TUTTLE (M.D.) is a healthcare provider. based in St. paul, Minnesota. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 51814 (MN). The NPI Number for SUE-MI C TUTTLE (M.D.) is 1447442702

Main info

Female
25 Years Of Experience
Name
SUE-MI C TUTTLE (M.D.)
NPI
1447442702
Phone
(651) 254-8290
Address
401 PHALEN BLVD-MS 41104H
Enumeration Date
10 August 2007
Last Update Date
12 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
3206825225
Graduation Year
2001 (25 years ago)
PAC ID
9335293638
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20090820000892
Address ID
MN553021109AN440XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

147 PLASTIC AND RECONSTRUCTIVE SURGERY in MN

Provider Addresses for SUE-MI C TUTTLE (M.D.)

  • 401 PHALEN BLVD-MS 41104H

    HEALTHPARTNERS SPECIALTY CENTER 401

    ST. PAUL, MN 551305302

    Phone: (651) 254-8290

    Fax: (651) 254-8299

    Type: Location

  • 3rd Avenue South, Downtown West, Central, Minneapolis, Hennepin County, Minnesota, 55404, United States

    MS21110Q

    MINNEAPOLIS, MN 554254516

    Phone:

    Type: Mailing

  • 7450 FRANCE AVE S STE 220

    EDINA, MN 554354792

    Phone: (952) 925-1111

    Fax: (952) 922-3446

    Type: Mailing

  • 401 PHALEN BLVD

    SAINT PAUL, MN 551305302

    Phone: (651) 254-8290

    Fax: (651) 254-8299

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $295.

Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Ethicon US, LLC ($156).

Total Amount

$295

General + Research + Ownership

Payments

13

Total payment records

General Amount

$295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-08-20

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
I20090820000892IPlastic And Reconstructive SurgeryMNTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes2419$0
View full utilization report →

Insurance plans in this area (ZIP 55130)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What number should I use to identify SUE-MI C TUTTLE (M.D.) for billing?
Administrative and clinical systems typically use NPI 1447442702 for SUE-MI C TUTTLE (M.D.).
Does the public listing show SUE-MI C TUTTLE (M.D.) as active?
SUE-MI C TUTTLE (M.D.)'s NPI record reflects an active status in NPPES.
What services align with SUE-MI C TUTTLE (M.D.)'s listing?
SUE-MI C TUTTLE (M.D.)'s public classification highlights Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to SUE-MI C TUTTLE (M.D.)?
SUE-MI C TUTTLE (M.D.) shows a connection to St. Paul, Minnesota in registry-derived data.
Can I export SUE-MI C TUTTLE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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