Randall Sutter, M.D.
NPI 1518165406 · Internal Medicine Physician · Peoria, IL
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randall Sutter, M.D. is a Internal Medicine Physician provider in Peoria, IL (NPI 1518165406).
Provider details
- NPI number
- 1518165406
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125-053013 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
483 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 357 | $76 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 31 | $114 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 29 | $109 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 24 | $167 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 23 | $78 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 19 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2011-06-02
Frequently asked questions
- What is Randall Sutter's NPI number?
- Randall Sutter's National Provider Identifier (NPI) is 1518165406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Sutter's specialty?
- Randall Sutter is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Randall Sutter located?
- Randall Sutter's practice location on file with NPPES is 530 Ne Glen Oak Ave, Peoria, IL 61637-0001.
- What is Randall Sutter's phone number?
- The practice phone number listed in the NPPES registry for Randall Sutter is (309) 655-2000.
- Does Randall Sutter accept Medicare?
- Randall Sutter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randall Sutter's NPI active?
- Yes — Randall Sutter's NPI (1518165406) is active in the NPPES registry as of the last update on 2011-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.