MR. SEAN ANTHONY SUTTLE (P.A - C.) – Physician Assistant, NPI 1740287457
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for MR. SEAN ANTHONY SUTTLE (P.A - C.)
1501, Northeast Medical Center Drive, Bend, Deschutes County, Oregon, 97701, United States
BEND, OR 977016051
Phone: (541) 382-2811
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)
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: 2010-07-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100703000048 | I | Physician Assistant | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 3,100 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 198 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 160 | 157 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 50 | 50 | $0 |
| 77063 | Screening 3d breast mammography | 49 | 49 | $0 |
Insurance plans in this area (ZIP 97701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| U R O L O G Y | TX | |
| Physician Assistant | WA | |
| Family Practice | OR | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | OR | |
| Physician Assistant | MN | |
| - | OR | |
| N E P H R O L O G Y | WA | |
| - | OR |
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