Active NPI 1447369293 Individual Practitioner Female Practitioner

Dr. Marybeth E Sutkowski , MD

Internal Medicine • Aurora, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marybeth Sutkowski, MD is a certified Internal Medicine practicing in Aurora, IL. With approximately 34 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1992, Dr. Sutkowski delivers high-quality medical care to the local community at 1870 W GALENA BLVD.

Dr. Sutkowski maintains professional affiliations with Paragon Clinical Llc, Complexcare Medical Group Midwest H Pllc, Theoria Medical and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1870 W Galena Blvd

Aurora, IL 605064356

Telephone 6308596700

Associated Practice Facility / Clinic

🏢 Hankes Clinic Pharmacy Facility NPI 1184717522

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Aurora, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +6.4 yrs vs City Avg

City Avg: 27.6 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

45 Specialists

Practicing in Aurora, IL (7544 Statewide)

Telehealth Adoption Rate

28.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutkowski (34 Years) 34 Yrs

Aurora Specialty Average (27.6 Years) 27.6 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
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	175	146	$200.00	$158.36
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	64	48	$200.00	$158.85
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	28	24	$245.00	$189.04
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	18	15	$170.00	$129.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	208	80	$40.00	$31.34
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	143	85	$200.52	$158.29
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	95	64	$245.00	$190.28
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	41	23	$55.00	$43.02
G0318 Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif	29	16	$40.00	$31.96
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	28	21	$170.00	$131.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	146	43	$144.93	$96.14
99336 Established patient assisted living visit, typically 40 minutes	87	67	$215.00	$136.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	84	32	$109.88	$73.33
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	54	40	$215.00	$137.08
99337 Established patient assisted living visit, typically 60 minutes	49	46	$305.00	$198.45
99306 Initial nursing facility visit, typically 45 minutes per day	44	41	$270.00	$175.12
99356 Prolonged inpatient or observation hospital service, first hour	42	37	$145.00	$92.79
99335 Established patient assisted living visit, typically 25 minutes	37	29	$150.00	$98.54
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	23	23	$55.00	$44.41
99316 Nursing facility discharge management, more than 30 minutes	14	13	$165.00	$109.55
99357 Extended inpatient or observation hospital service, each additional 30 minutes	12	12	$150.00	$93.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	14	14	$150.00	$95.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	43	28	$150.00	$91.58
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	16	15	$90.00	$58.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	70	51	$145.00	$94.43
99335 Established patient assisted living visit, typically 25 minutes	58	43	$150.00	$96.83

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-089686

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036089686 (IL)

Hospital & Practice Group Affiliations

Paragon Clinical Llc

8380 Virginia St, Merrillville, IN 464106231

Phone: 6308321775

Paragon Clinical Llc

1333 Burr Ridge Pkwy, Burr Ridge, IL 605270833

Phone: 6308321775

Complexcare Medical Group Midwest H Pllc

800 Division St, Dixon, IL 610214107

Phone: 8152843393

Theoria Medical

800 Division St, Dixon, IL 610214107

Phone: 2486601220

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Aruna Galla-Pagadala , MD

Family Medicine

NPI 1033310024

Doctor of Medicine (M.D.)

Dr. Priyadarshini Verma , MD

Internal Medicine - Infectious Disease

NPI 1053443895

Doctor of Medicine (M.D.)

Dr. Mona Waheed , MD

Family Medicine

NPI 1063510659

Doctor of Medicine (M.D.)

Dr. Vivien Ho , MD

Family Medicine

NPI 1083897888

Doctor of Medicine (M.D.)

Dr. Rahul Sharma , MD

Psychiatry & Neurology - Psychiatry

NPI 1083979124

Doctor of Medicine (M.D.)

Donna Cole , LCSW, LISW

Social Worker - Clinical

NPI 1114215480

Licensed Clinical Social Worker, Licensed Independent Social Worker

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2011

Registered at 1870 W GALENA BLVD, AURORA, IL 605064356 (Tel: 6308596700)

📍

Updated Business Mailing Address May 10, 2011

Registered at 1870 W GALENA BLVD, AURORA, IL 605064356 (Tel: 6308596700)

👤

Provider Name / Credentials Updated May 10, 2011

Recorded as MARYBETH SUTKOWSKI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2011

Internal Medicine (License #036-089686 in IL)

🟢

Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447369293

Entity Type:

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

Enumeration Date: August 29, 2006

Last Update: May 10, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1870 W Galena Blvd

Aurora, IL 605064356

Phone: 6308596700

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.