Active NPI 1518165406 Individual Practitioner Male Practitioner

Dr. Randall Scott Sutter , MD

Internal Medicine • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Randall Sutter, MD is a registered healthcare professional specializing in Internal Medicine in Peoria, IL. Practice services are available at 530 NE GLEN OAK AVE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, 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

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096552000

Associated Practice Facility / Clinic

🏢 University Of Illinois Facility NPI 1255301909

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Peoria, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

176 Specialists

Practicing in Peoria, IL (7544 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	357	94	$225.00	$75.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	14	$338.00	$114.07
99239 Hospital discharge day management, more than 30 minutes	29	28	$324.00	$109.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$499.75	$166.93
99238 Hospital discharge day management, 30 minutes or less	23	23	$228.00	$77.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$371.16	$126.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	549	202	$197.00	$75.82
99238 Hospital discharge day management, 30 minutes or less	84	83	$197.00	$78.47
99239 Hospital discharge day management, more than 30 minutes	71	70	$288.00	$110.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	65	$374.00	$127.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	27	$283.00	$108.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$547.00	$169.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	17	$107.00	$48.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	469	156	$191.12	$68.81
99238 Hospital discharge day management, 30 minutes or less	61	60	$190.31	$69.64
99239 Hospital discharge day management, more than 30 minutes	43	43	$280.47	$101.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	28	$277.10	$99.34
99219 Hospital observation care, typically 50 minutes	37	37	$356.27	$128.73
99225 Subsequent observation care, typically 25 minutes per day	32	24	$189.44	$66.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$533.52	$191.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$364.00	$127.13
99217 Hospital observation care on day of discharge	18	18	$190.17	$66.52
99220 Hospital observation care, typically 70 minutes	11	11	$483.09	$172.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	414	151	$187.55	$69.96
99239 Hospital discharge day management, more than 30 minutes	56	56	$276.86	$104.12
99238 Hospital discharge day management, 30 minutes or less	45	45	$188.24	$70.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	28	$270.73	$101.65
99225 Subsequent observation care, typically 25 minutes per day	30	25	$188.37	$70.76
99219 Hospital observation care, typically 50 minutes	23	23	$352.52	$132.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$525.52	$197.15
99220 Hospital observation care, typically 70 minutes	19	19	$479.89	$179.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$358.31	$134.10
99217 Hospital observation care on day of discharge	11	11	$188.09	$70.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	472	178	$186.38	$72.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	37	$267.11	$103.71
99239 Hospital discharge day management, more than 30 minutes	62	61	$273.77	$106.11
99238 Hospital discharge day management, 30 minutes or less	56	56	$186.93	$72.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$519.70	$202.31
99220 Hospital observation care, typically 70 minutes	25	25	$476.00	$185.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	11	$101.59	$39.51
99225 Subsequent observation care, typically 25 minutes per day	17	16	$187.59	$72.65
99219 Hospital observation care, typically 50 minutes	15	15	$349.33	$135.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	392	164	$180.39	$71.74
99239 Hospital discharge day management, more than 30 minutes	104	102	$265.50	$104.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	67	$502.58	$200.32
99220 Hospital observation care, typically 70 minutes	48	48	$458.88	$183.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	23	$261.00	$102.67
99225 Subsequent observation care, typically 25 minutes per day	20	18	$180.20	$72.16
99238 Hospital discharge day management, 30 minutes or less	16	16	$181.63	$71.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$340.82	$135.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	600	236	$174.48	$71.64
99239 Hospital discharge day management, more than 30 minutes	165	164	$257.82	$105.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	69	$488.39	$200.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	36	$251.70	$103.26
99220 Hospital observation care, typically 70 minutes	30	30	$447.83	$184.55
99225 Subsequent observation care, typically 25 minutes per day	22	17	$176.82	$72.29
99217 Hospital observation care on day of discharge	14	14	$175.79	$72.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	666	235	$169.20	$71.03
99239 Hospital discharge day management, more than 30 minutes	129	127	$250.95	$104.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	82	79	$477.33	$200.06
99225 Subsequent observation care, typically 25 minutes per day	45	28	$170.44	$70.75
99220 Hospital observation care, typically 70 minutes	41	41	$436.17	$182.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	17	$243.85	$102.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$324.88	$135.36
99217 Hospital observation care on day of discharge	22	22	$169.45	$71.50

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 125-053013

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 125-053013

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Deepak Nair , MD

Psychiatry & Neurology - Neurology

NPI 1003019209

Doctor of Medicine (M.D.)

Dr. Alexandra Roper , MD

Surgery

NPI 1003556580

Doctor of Medicine (M.D.)

Dr. Thomas Blackwell , MD

Student in an Organized Health Care Education/Training Program

NPI 1003666421

Doctor of Medicine (M.D.)

Jacob Clark

Physician Assistant - Medical

NPI 1013614304

Dr. Kelsey Grimes , DO

Pediatrics

NPI 1013647965

Doctor of Osteopathic Medicine (D.O.)

Mark Morris , NP

Nurse Practitioner - Acute Care

NPI 1023237476

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 02, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 02, 2011

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552000)

📍

Updated Business Mailing Address June 02, 2011

Registered at 493 OAK POINT RD, METAMORA, IL 615487814 (Tel: 3093702044)

👤

Provider Name / Credentials Updated June 02, 2011

Recorded as RANDALL SUTTER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2011

Internal Medicine (License #125-053013 in IL)

🟢

Initial NPI Registration & Enumeration July 03, 2007

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: 1518165406

Entity Type:

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

Enumeration Date: July 03, 2007

Last Update: June 02, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

493 Oak Point Rd

Metamora, IL 615487814

Phone: 3093702044

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.