CONNIE D SUTTER (MD) – Dermatology Physician, NPI 1164487534

CONNIE D SUTTER (MD) is a healthcare provider. based in Independence, Ohio. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 35058075 (OH). The NPI Number for CONNIE D SUTTER (MD) is 1164487534

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE D SUTTER (MD)
NPI
1164487534
Phone
(216) 524-4009
Address
6701 ROCKSIDE RD
Enumeration Date
19 April 2006
Last Update Date
9 November 2007

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
2165244009
Graduation Year
1985 (41 years ago)
PAC ID
0143262675
Group Practice PAC ID
0648212167
Professional Enrollment ID
I20110414000507
Address ID
OH441312188IN4807XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

607 DERMATOLOGY in OH

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Provider Addresses for CONNIE D SUTTER (MD)

  • 6701, Rockside Road, Independence, Cuyahoga County, Ohio, 44131, United States

    SUITE 330

    INDEPENDENCE, OH 441312358

    Phone: (216) 524-4009

    Fax: (216) 524-7933

    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 25 Open Payments records for all available years, with a total value of $829.

Total Amount is formed as General ($829) + Research ($0) + Ownership ($0) = $829.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($413).

Total Amount

$829

General + Research + Ownership

Payments

25

Total payment records

General Amount

$829

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2011-04-14

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
I20110414000507IDermatologyOHTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,062260$0
17000Destruction of precancer skin growth, 1 growth523296$0
99213Established patient office or other outpatient visit, 20-29 minutes425267$0
99214Established patient office or other outpatient visit, 30-39 minutes362236$0
11102Biopsy of related skin growth, first growth146117$0
View full utilization report →

Insurance plans in this area (ZIP 44131)

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Provider's Procedures

CONNIE D SUTTER (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYOH17003Destruction of 2-14 skin growths2934364

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: 0648212167View full group profile
NameSpecialtyState
D E R M A T O L O G YOH
Nurse PractitionerOH
D E R M A T O L O G YOH
D E R M A T O L O G YOH
D E R M A T O L O G YOH

Reviews

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Frequently asked questions

Does CONNIE D SUTTER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CONNIE D SUTTER (MD) uses 1164487534.
Can I rely on CONNIE D SUTTER (MD) being an active provider?
As of the registry snapshot, CONNIE D SUTTER (MD) is marked active.
What is CONNIE D SUTTER (MD)'s primary classification?
Dermatology Physician is the headline specialty for CONNIE D SUTTER (MD) here. Clinical services aligned with this taxonomy classification.
Does CONNIE D SUTTER (MD) list a practice location?
Patients near Independence, Ohio may find CONNIE D SUTTER (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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