MARGARET K SUTTON (MD) – Dermatology Physician, NPI 1043218225

MARGARET K SUTTON (MD) is a healthcare provider. based in Lincoln, Nebraska. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 15459 (NE). The NPI Number for MARGARET K SUTTON (MD) is 1043218225

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
MARGARET K SUTTON (MD)
NPI
1043218225
Phone
(402) 484-9009
Address
PO BOX 6068
Enumeration Date
12 July 2005
Last Update Date
20 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024849009
Graduation Year
1979 (47 years ago)
PAC ID
3678481397
Group Practice PAC ID
8123022498
Professional Enrollment ID
I20100609000915
Address ID
NE685165332LI7100XLNXX301
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

64 DERMATOLOGY in NE

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Provider Addresses for MARGARET K SUTTON (MD)

  • Lincoln / West Market, Lincoln Avenue, Salinas, Monterey County, California, 93901, United States

    LINCOLN, NE 685060068

    Phone: (402) 484-9009

    Fax: (402) 483-4223

    Type: Mailing

  • Stephanie Lane, Lincoln, Lancaster County, Nebraska, 68516, United States

    LINCOLN, NE 685165332

    Phone: (402) 484-9009

    Fax: (402) 483-4223

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $436.

Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($115).

Total Amount

$436

General + Research + Ownership

Payments

20

Total payment records

General Amount

$436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2010-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100609000915IDermatologyNETBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity3,9432,197$0
17003Destruction of precancer skin growth, 2-14 growths1,324344$0
99213Established patient office or other outpatient visit, 20-29 minutes1,2221,015$0
17000Destruction of precancer skin growth, 1 growth650550$0
17110Destruction of skin growth, 1-14 growths491449$0
View full utilization report →

Insurance plans in this area (ZIP 68506)

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Provider's Procedures

MARGARET K SUTTON (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYNE11101Biopsy of each additional growth of skin and/or tissue2118
DERMATOLOGYNE88304Pathology examination of tissue using a microscope, moderately low complexity4542

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: 8123022498View full group profile
NameSpecialtyState
Physician AssistantNE
-NE
Nurse PractitionerNE
-NE
Physician AssistantNE
Physician AssistantNE
Physician AssistantNE
D E R M A T O L O G YNE
-NE
Nurse PractitionerTN

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Frequently asked questions

How do I look up MARGARET K SUTTON (MD) by NPI?
Use NPI 1043218225 when you need to reference MARGARET K SUTTON (MD) in forms, claims, or directories.
Does this profile mean MARGARET K SUTTON (MD) is currently active?
Yes — MARGARET K SUTTON (MD) appears active in the national provider directory.
What does MARGARET K SUTTON (MD) treat or focus on?
Patients typically see MARGARET K SUTTON (MD) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MARGARET K SUTTON (MD)?
The snapshot lists Lincoln, Nebraska for MARGARET K SUTTON (MD); 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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