AMY SUTKUS (M.D.) – Family Medicine Physician, NPI 1588869119

AMY SUTKUS (M.D.) is a healthcare provider. based in Mill city, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD29295 (OR). The NPI Number for AMY SUTKUS (M.D.) is 1588869119

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
AMY SUTKUS (M.D.)
NPI
1588869119
Phone
(503) 897-4100
Address
PO BOX 47
Enumeration Date
15 June 2007
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8008132000
Graduation Year
2006 (20 years ago)
PAC ID
2668667585
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20101117000406
Address ID
OR973069427SA5125XSXXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

2,081 FAMILY PRACTICE in OR

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Provider Addresses for AMY SUTKUS (M.D.)

  • Mill City, Linn County, Oregon, 97360, United States

    MILL CITY, OR 973600047

    Phone: (503) 897-4100

    Fax: (503) 897-2673

    Type: Mailing

  • 280, South 1st Avenue, Mill City, Linn County, Oregon, 97360, United States

    MILL CITY, OR 973602324

    Phone: (503) 897-4100

    Fax: (503) 897-2673

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101117000406IFamily PracticeORTBD
I20180116001433IFamily PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97360)

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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: 5799688230View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for AMY SUTKUS (M.D.)?
Save NPI 1588869119 if you need a stable reference for AMY SUTKUS (M.D.).
Does this profile mean AMY SUTKUS (M.D.) is currently active?
Yes — AMY SUTKUS (M.D.) appears active in the national provider directory.
Can you summarize AMY SUTKUS (M.D.)'s specialty in plain language?
Clinically, the directory lists AMY SUTKUS (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for AMY SUTKUS (M.D.)?
We surface Mill City, Oregon for AMY SUTKUS (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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