Active NPI 1821254517 Individual Practitioner Male Practitioner

Dr. Daniel David Sutphin , MD

Surgery - Plastic and Reconstructive Surgery • Vero Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Sutphin, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Vero Beach, FL. With approximately 22 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 2004, Dr. Sutphin delivers high-quality medical care to the local community at 1000 36TH ST.

Dr. Sutphin is affiliated with Indian River Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of wound by transferring skin, 30.1-60.0 sq cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 36th St

Vero Beach, FL 329604862

Telephone 7725634673

Associated Practice Facility / Clinic

🏢 Emergency Medicine Associates Inc Facility NPI 1366437386

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Vero Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -0.7 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Vero Beach, FL (258 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutphin (22 Years) 22 Yrs

Vero Beach Specialty Average (22.7 Years) 22.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$460.00	$174.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$293.00	$128.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$308.44	$177.84
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$100.00	$64.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$150.35	$95.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$228.76	$130.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$52.81	$34.96
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	13	$1418.86	$761.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	115	18	$335.00	$211.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	51	51	$274.00	$181.63
99213 Established patient office or other outpatient visit, typically 15 minutes	41	27	$100.00	$66.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$147.00	$96.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	11	$53.00	$36.03
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	21	20	$1333.00	$834.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$202.00	$133.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$217.00	$143.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	46	$99.04	$66.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	48	$146.79	$99.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	53	53	$274.00	$183.65
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	48	14	$333.21	$215.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	28	$217.00	$145.64
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	24	22	$1323.25	$824.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	16	$52.88	$35.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$202.00	$135.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$123.09	$83.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	43	$118.00	$79.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	55	55	$254.00	$170.16
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	42	23	$331.60	$223.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	31	$167.00	$112.35
99213 Established patient office or other outpatient visit, typically 15 minutes	39	22	$76.00	$51.66
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	32	29	$1320.00	$827.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$207.81	$130.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	51	$76.00	$50.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	80	80	$254.00	$165.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	48	$167.00	$109.36
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	53	17	$331.60	$219.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	39	$118.00	$77.75
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	27	25	$1320.00	$840.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$195.00	$126.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$711.10	$199.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	76	23	$331.60	$170.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$254.00	$163.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$195.00	$127.40
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$76.00	$50.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$118.00	$77.41
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	26	26	$1320.00	$794.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$115.00	$75.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$38.00	$25.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$711.10	$199.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$461.00	$147.95

Medical Specialties & State Licenses

CMS Verified: 2025-03-06

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License FL ME171332

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License NM MD2012-0616

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License AZ 54960

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License TN 45114

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

77456751 (NM)

Hospital & Practice Group Affiliations

Indian River Health Services Inc

3555 10th Ct, Vero Beach, FL 329605013

Phone: 7725634673

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Dr. James Lasker , MD

Internal Medicine

NPI 1215956289

Doctor of Medicine (M.D.)

Dr. Simon Vinarsky , MD

Internal Medicine - Hematology & Oncology

NPI 1245268838

Doctor of Medicine (M.D.)

Dr. Ahmer Younas , MD

Internal Medicine - Medical Oncology

NPI 1396754289

Doctor of Medicine (M.D.)

Dr. Ashley Mays , MD

Otolaryngology

NPI 1407155153

Doctor of Medicine (M.D.)

Natalie Vasu , PA-C

Physician Assistant

NPI 1407683998

Physician Assistant (Certified)

Dr. Nataly Torrejon Guzman , MD

Internal Medicine - Hematology & Oncology

NPI 1548812449

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events

📍

Updated Practice Location March 06, 2025

Registered at 1000 36TH ST, VERO BEACH, FL 329604862 (Tel: 7725634673)

📍

Updated Business Mailing Address March 06, 2025

Registered at 1000 36TH ST, VERO BEACH, FL 329604862 (Tel: 7725634673)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2025

Surgery (License #ME171332 in FL)

📍

Updated Practice Location April 05, 2018

Registered at 2460 S PARKVIEW LOOP, SUITE 201, YUMA, AZ 853645358 (Tel: 9283361675)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2018

Surgery (License #MD2012-0616 in NM)

✅

NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2017

Registered at 1501 W 24TH ST STE 201, YUMA, AZ 853646385 (Tel: 9283361675)

📍

Updated Business Mailing Address October 27, 2017

Registered at 2400 S AVENUE A, YUMA, AZ 853647127 (Tel: 9283361802)

👤

Provider Name / Credentials Updated October 27, 2017

Recorded as DANIEL SUTPHIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Surgery (License #45114 in TN)

📍

Updated Practice Location March 02, 2017

Registered at 1 MEDICAL PARK BLVD, SUITE 250W, BRISTOL, TN 376207430 (Tel: 4238446620)

📍

Updated Business Mailing Address March 02, 2017

Registered at 105 W STONE DR, SUITE 6A, KINGSPORT, TN 376603365 (Tel: 4234087220)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2017

Surgery (License #45114 in TN)

✅

NPI Profile Active January 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2016

Registered at 4351 E LOHMAN AVE, SUITE 204, LAS CRUCES, NM 880118259 (Tel: 5755321672)

📍

Updated Business Mailing Address January 25, 2016

Registered at 4351 E LOHMAN AVE, SUITE 204, LAS CRUCES, NM 880118259 (Tel: 5755321672)

👤

Provider Name / Credentials Updated January 25, 2016

Recorded as DANIEL SUTPHIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2016

Surgery (License #MD2012-0616 in NM)

🟢

Initial NPI Registration & Enumeration August 01, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Daniel Sutphin. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821254517

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 01, 2008

Last Update: March 06, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1000 36th St

Vero Beach, FL 329604862

Phone: 7725634673

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.