Active NPI 1720088347 Individual Practitioner Female Practitioner

Dr. Jackie Jean Sutherland , DO

Internal Medicine • Kennett, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jackie Sutherland, DO is a certified Internal Medicine practicing in Kennett, MO. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Sutherland delivers high-quality medical care to the local community at 603 TEACO ROAD.

Dr. Sutherland maintains professional affiliations with Mcpherson Medical And Diagnostic Llc, Health Facilities Rehab Services Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

603 Teaco Road

Kennett, MO 638573266

Telephone 5737177676

Fax 5737177877

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Kennett, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -7.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 25.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Kennett, MO (2747 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutherland (25 Years) 25 Yrs

Kennett Specialty Average (32.0 Years) 32.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	724	158	$150.00	$82.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	489	84	$145.00	$68.14
81002 Urinalysis, manual test	179	124	$77.00	$3.41
36415 Insertion of needle into vein for collection of blood sample	170	103	$23.79	$8.65
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	50	13	$80.00	$70.72
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	41	41	$58.83	$21.65
G0008 Administration of influenza virus vaccine	41	41	$65.00	$29.84
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	32	$270.00	$122.53
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$50.00	$12.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$220.00	$116.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	20	$190.00	$98.68
36410 Insertion of needle into vein, patient 3 years or older	16	15	$35.00	$15.55
82270 Stool analysis for blood to screen for colon tumors	15	15	$57.00	$4.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	852	167	$150.00	$82.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	518	95	$145.00	$69.18
36410 Insertion of needle into vein, patient 3 years or older	231	130	$35.00	$15.76
81002 Urinalysis, manual test	159	114	$77.00	$3.41
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	75	14	$80.00	$71.56
93000 Routine ekg using at least 12 leads including interpretation and report	60	51	$50.00	$13.15
90756 Vaccine for influenza for injection into muscle	52	52	$60.00	$31.72
G0008 Administration of influenza virus vaccine	52	52	$65.00	$28.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	48	47	$270.00	$124.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	30	$220.00	$117.65
82270 Stool analysis for blood to screen for colon tumors	32	32	$57.00	$4.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	26	$190.00	$99.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	13	$103.00	$36.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$238.00	$118.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	987	210	$150.00	$83.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	372	77	$145.00	$63.29
36410 Insertion of needle into vein, patient 3 years or older	286	159	$35.00	$15.98
81002 Urinalysis, manual test	115	67	$77.00	$3.41
99335 Established patient assisted living visit, typically 25 minutes	89	18	$200.00	$88.86
90756 Vaccine for influenza for injection into muscle	57	57	$60.00	$29.97
G0008 Administration of influenza virus vaccine	57	57	$65.00	$26.63
93000 Routine ekg using at least 12 leads including interpretation and report	51	41	$50.00	$13.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	37	$220.00	$119.34
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	42	42	$270.00	$117.20
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	17	16	$103.00	$40.48
82270 Stool analysis for blood to screen for colon tumors	15	15	$57.00	$4.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	12	$190.00	$84.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,336	253	$150.00	$86.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	408	83	$145.00	$65.57
36410 Insertion of needle into vein, patient 3 years or older	333	200	$35.00	$16.21
81002 Urinalysis, manual test	185	123	$77.00	$3.48
99335 Established patient assisted living visit, typically 25 minutes	123	20	$200.00	$91.36
93000 Routine ekg using at least 12 leads including interpretation and report	85	78	$50.00	$13.79
90756 Vaccine for influenza for injection into muscle	62	62	$60.00	$28.37
G0008 Administration of influenza virus vaccine	62	62	$65.00	$15.44
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	53	51	$270.00	$123.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	44	$220.00	$123.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	16	$190.00	$86.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,364	269	$150.00	$70.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	492	86	$145.00	$66.19
36410 Insertion of needle into vein, patient 3 years or older	322	200	$35.00	$16.09
81002 Urinalysis, manual test	168	126	$77.00	$3.47
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	103	103	$60.00	$29.23
G0008 Administration of influenza virus vaccine	103	103	$65.00	$15.50
99335 Established patient assisted living visit, typically 25 minutes	83	18	$200.00	$91.78
93000 Routine ekg using at least 12 leads including interpretation and report	72	63	$50.00	$15.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	43	$220.00	$102.09
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	37	37	$270.00	$124.61
82270 Stool analysis for blood to screen for colon tumors	26	26	$57.00	$4.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	16	$88.00	$42.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$222.00	$100.80
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	14	$103.00	$42.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,466	285	$150.00	$69.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	563	114	$145.00	$65.47
36410 Insertion of needle into vein, patient 3 years or older	334	200	$35.00	$15.98
81002 Urinalysis, manual test	136	88	$77.00	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	92	$220.00	$101.58
93000 Routine ekg using at least 12 leads including interpretation and report	115	89	$50.00	$15.65
99335 Established patient assisted living visit, typically 25 minutes	85	19	$200.00	$90.94
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	62	60	$270.00	$124.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$222.00	$101.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	23	$88.00	$41.43
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	31	23	$103.00	$41.97
82270 Stool analysis for blood to screen for colon tumors	31	31	$57.00	$4.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	24	$190.00	$87.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$340.00	$154.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,258	251	$150.00	$65.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	659	121	$145.00	$63.98
36410 Insertion of needle into vein, patient 3 years or older	261	151	$35.00	$15.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	66	$220.00	$97.82
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	83	83	$60.00	$23.57
G0008 Administration of influenza virus vaccine	83	83	$80.00	$18.52
99335 Established patient assisted living visit, typically 25 minutes	78	15	$200.00	$88.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	77	76	$270.00	$121.18
81002 Urinalysis, manual test	74	52	$77.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	73	66	$50.00	$15.17
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	65	49	$103.00	$41.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$222.00	$98.01
99318 Nursing facility annual assessment, typically 30 minutes	32	32	$200.00	$89.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	23	$88.00	$39.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	23	$190.00	$84.58
82270 Stool analysis for blood to screen for colon tumors	24	24	$57.00	$4.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$238.00	$105.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,374	245	$143.99	$65.54
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	596	113	$141.55	$63.29
36410 Insertion of needle into vein, patient 3 years or older	275	141	$33.64	$15.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	76	$213.14	$96.20
99335 Established patient assisted living visit, typically 25 minutes	88	17	$197.50	$87.58
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	79	55	$103.00	$40.91
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	74	70	$261.08	$120.10
81002 Urinalysis, manual test	63	39	$73.76	$2.80
93000 Routine ekg using at least 12 leads including interpretation and report	60	56	$50.00	$15.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	33	$85.62	$38.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	21	19	$183.33	$83.69
99318 Nursing facility annual assessment, typically 30 minutes	20	20	$191.00	$88.84
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	19	17	$194.00	$24.95
82270 Stool analysis for blood to screen for colon tumors	18	18	$56.00	$4.37
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$150.00	$47.28

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MO 2003013951

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

209180900 (MO)

Commercial Insurance / Payer ID Bcbs

192785 (MO)

Hospital & Practice Group Affiliations

Health Facilities Rehab Services Inc

1102 Sikes Ave, Sikeston, MO 638015021

Mcpherson Medical And Diagnostic Llc

216 W Main St, Steele, MO 638771436

Phone: 5736952181

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2012

Registered at 603 TEACO ROAD, KENNETT, MO 638573266 (Tel: 5737177676)

📍

Updated Business Mailing Address September 05, 2012

Registered at 603 TEACO ROAD., KENNETT, MO 638573266 (Tel: 5737177676)

👤

Provider Name / Credentials Updated September 05, 2012

Recorded as JACKIE SUTHERLAND, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2012

Internal Medicine (License #2003013951 in MO)

🟢

Initial NPI Registration & Enumeration July 26, 2005

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: 1720088347

Entity Type:

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

Enumeration Date: July 26, 2005

Last Update: September 05, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

603 Teaco Road.

Kennett, MO 638573266

Phone: 5737177676

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.