Active NPI 1790989663 Individual Practitioner Male Practitioner

Dr. William Ryan Sutherland , MD

Surgery • Mt Sterling, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Sutherland, MD is a certified Surgery practicing in Mt Sterling, KY. With approximately 24 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 2002, Dr. Sutherland delivers high-quality medical care to the local community at 227 FALCON DR STE 104.

Dr. Sutherland is affiliated with Kentuckyone Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

227 Falcon Dr Ste 104

Mt Sterling, KY 403539792

Telephone 8594975160

Fax 8594975166

Associated Practice Facility / Clinic

🏢 Kentuckyone Health Medical Group, Inc. Facility NPI 1104875970

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mt Sterling, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs Matches City Avg

City Avg: 24.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Mt Sterling, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutherland (24 Years) 24 Yrs

Mt Sterling Specialty Average (24.0 Years) 24.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$318.00	$151.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$259.00	$121.94
99213 Established patient office or other outpatient visit, typically 15 minutes	39	38	$172.00	$83.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	19	$196.00	$110.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$243.00	$118.31
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	16	15	$163.00	$76.60
76937 Ultrasonic guidance for blood vessel access	14	13	$27.00	$13.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$488.00	$233.41

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	65	65	$318.00	$153.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	53	$259.00	$123.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	28	$196.00	$112.61
99213 Established patient office or other outpatient visit, typically 15 minutes	38	32	$172.00	$83.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	30	$243.00	$118.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$488.00	$236.08
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	18	16	$163.00	$79.08
45380 Biopsy of large bowel using an endoscope	13	13	$384.00	$41.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	36	$196.00	$97.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$318.00	$157.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	66	$259.00	$128.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	53	$244.13	$120.41
99213 Established patient office or other outpatient visit, typically 15 minutes	47	41	$171.68	$85.11
36569 Insertion of central venous catheter for infusion, patient 5 years or older	23	22	$182.00	$89.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$488.00	$229.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	13	$566.00	$200.64
45380 Biopsy of large bowel using an endoscope	11	11	$384.00	$13.64
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$264.00	$77.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	133	51	$202.00	$98.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$317.58	$157.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	74	$244.56	$122.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	83	72	$266.00	$129.88
99213 Established patient office or other outpatient visit, typically 15 minutes	75	49	$171.59	$86.15
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	27	25	$168.00	$81.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$499.00	$244.22
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	17	$572.00	$173.02
76937 Ultrasonic guidance for blood vessel access	14	14	$29.00	$13.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$273.00	$82.66
36569 Insertion of central venous catheter for infusion, patient 5 years or older	13	12	$187.00	$90.85
45380 Biopsy of large bowel using an endoscope	12	12	$641.00	$47.45

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	105	81	$205.00	$103.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$311.00	$157.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	87	$266.00	$135.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	50	$202.00	$102.30
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$141.00	$70.82
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	40	34	$168.00	$83.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$562.00	$172.86
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$499.00	$243.76
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$37.00	$18.59
76937 Ultrasonic guidance for blood vessel access	15	15	$29.00	$14.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$287.00	$85.15
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$658.00	$335.77
47562 Removal of gallbladder using an endoscope	13	13	$1286.00	$625.88
45380 Biopsy of large bowel using an endoscope	12	12	$641.00	$46.00

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	114	114	$311.00	$154.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	82	$201.00	$100.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	48	$199.00	$97.63
99213 Established patient office or other outpatient visit, typically 15 minutes	59	46	$136.00	$69.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	46	$264.00	$128.83
99221 Initial hospital inpatient care per day, typically 30 minutes	27	25	$194.00	$97.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$78.77	$40.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	22	$592.00	$250.72
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	20	$546.00	$184.44
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	16	$37.00	$18.10
76937 Ultrasonic guidance for blood vessel access	21	17	$29.00	$14.03
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	20	16	$169.00	$79.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	16	$692.00	$326.56
45380 Biopsy of large bowel using an endoscope	19	19	$498.00	$63.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$201.00	$100.95
47562 Removal of gallbladder using an endoscope	12	12	$1249.00	$634.38

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	125	125	$311.00	$152.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	85	$201.00	$100.26
99213 Established patient office or other outpatient visit, typically 15 minutes	94	59	$136.00	$68.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	41	$199.00	$94.09
99221 Initial hospital inpatient care per day, typically 30 minutes	70	63	$194.00	$92.81
76937 Ultrasonic guidance for blood vessel access	38	33	$29.00	$14.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	28	$592.00	$233.06
45380 Biopsy of large bowel using an endoscope	21	21	$498.00	$68.02
36569 Insertion of central venous catheter for infusion, patient 5 years or older	20	18	$182.00	$83.59
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$37.00	$18.08
47562 Removal of gallbladder using an endoscope	15	15	$1249.00	$632.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$286.00	$91.71
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$692.00	$320.57
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$546.00	$185.54

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	141	119	$201.00	$99.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$311.00	$152.36
99213 Established patient office or other outpatient visit, typically 15 minutes	103	66	$136.00	$67.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	33	$199.00	$97.27
99221 Initial hospital inpatient care per day, typically 30 minutes	67	62	$194.00	$95.45
76937 Ultrasonic guidance for blood vessel access	52	48	$29.00	$13.95
36569 Insertion of central venous catheter for infusion, patient 5 years or older	28	26	$182.00	$89.56
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$592.00	$249.93
47562 Removal of gallbladder using an endoscope	26	26	$1249.00	$628.66
45380 Biopsy of large bowel using an endoscope	24	24	$498.00	$60.91
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	24	$37.00	$18.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$692.00	$327.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	19	$546.00	$221.17

Medical Specialties & State Licenses

CMS Verified: 2026-06-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 43004

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01063074A

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200869500A (IN)

Medicaid State Provider ID

7100089710 (KY)

Medicaid State Provider ID

200869500T (IN)

Commercial Insurance / Payer ID Dmerc

0816010001

Commercial Insurance / Payer ID Railroad Medicare

P00642704

Commercial Insurance / Payer ID Anthem

000000526049

Hospital & Practice Group Affiliations

Kentuckyone Health Medical Group Inc

227 Falcon Dr, Mt Sterling, KY 403539792

Phone: 8594975459

Practice Associates & Co-Workers

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

2 Associated Practitioners

Lacy Crum

Physician Assistant - Medical

NPI 1174127781

Paige Gallas , PA-C

Physician Assistant

NPI 1821526559

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2026

Surgery (License #43004 in KY)

📍

Updated Practice Location July 10, 2019

Registered at 227 FALCON DR STE 104, MT STERLING, KY 403539792 (Tel: 8594975160)

📍

Updated Business Mailing Address July 10, 2019

Registered at PO BOX 936, LONDON, KY 407430936

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Surgery (License #01063074A in IN)

✅

NPI Profile Active February 07, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2010

Registered at 250 FOXGLOVE DR, MT STERLING, KY 403539770 (Tel: 8594994141)

📍

Updated Business Mailing Address February 07, 2010

Registered at PO BOX 73652, CLEVELAND, OH 441930002 (Tel: 6063303404)

👤

Provider Name / Credentials Updated February 07, 2010

Recorded as WILLIAM SUTHERLAND, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2010

Surgery (License #43004 in KY)

🟢

Initial NPI Registration & Enumeration June 13, 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: 1790989663

Entity Type:

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

Enumeration Date: June 13, 2007

Last Update: June 25, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 936

London, KY 407430936

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

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