NPPES file of Aug 9, 2026

Edward Grant Sutter, MD

Adult Reconstructive Orthopaedic Surgery Physician · Warrenville, IL

Edward Grant Sutter, MD is an adult reconstructive orthopaedic surgery physician with a practice address in Warrenville, Illinois, and NPI 1295077550, issued on Mar 25, 2013. Check the license (Illinois 036145005, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295077550
Name
Edward Grant Sutter
Credential
MD
Primary taxonomy
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
License number
036145005 IL
Self-reported in NPPES; status is on the state search
Practice location
27650 Ferry RD Ste 100, Warrenville, IL 60555
Phone
(630) 225-2663
Enumerated
Mar 25, 2013
Record last updated
Oct 30, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(630) 225-2399
Medicare enrollment
Enrolled (PECOS I20180524001715); accepts Medicare assignment
Medical or professional school
Duke University School Of Medicine, 2013
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 27650 Ferry RD Ste 100

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sanjeev Bhatia, M.D.Orthopaedic Surgery Physician1174751440
  2. Debdut Biswas, M.D.Orthopaedic Hand Surgery Physician1265660534
  3. Kaylee Craigo, PA-CPhysician Assistant1992192546
  4. Stephanie Donahoe, PA-CPhysician Assistant1811365745
  5. Victor Foorsov, M.D.Physical Medicine & Rehabilitation Physician1801191994
  6. Francisco Garcia, PA-CPhysician Assistant1427577949

Verify Edward Grant Sutter in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036145005
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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9% fewer Medicare Part D claims than the average adult reconstructive orthopaedic surgery physician in 2024

524 Medicare Part D claims for 207 beneficiaries, against an average of 579 among the 1,112 providers of this specialty who prescribed in Part D. 111 claims were for opioids.

  1. Edward Sutter524
  2. Specialty average579

Most prescribed

  1. Meloxicam127 claims
  2. Amoxicillin102 claims
  3. Hydrocodone-Acetaminophen97 claims
  4. Cefadroxil56 claims
  5. Ondansetron Odt41 claims
  6. Azithromycin26 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 94.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $22.64

1 payment: food and beverage; the largest payer was DePuy Synthes Sales Inc. The 1,060 providers of this specialty with any payment received $68,015.27 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Edward Sutter$23
  2. Specialty average$68,015

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Central Dupage Physician GroupWarrenville, IL
  2. Select Rehabilitation, LLCGlenview, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Edward Grant Sutter among 78 adult reconstructive orthopaedic surgery physician records in Illinois

Edward Grant Sutter, MD is one of 78 adult reconstructive orthopaedic surgery physician records with a practice address in Illinois. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 53% of them.

  • NPI issued2013 · 53% of these records are older, 44% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 82% of these records are
  • Graduated2013 · median 2012 among the 64 with a school on file
  • Record last updated2019 · 33% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0114X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Adult Reconstructive Orthopaedic Surgery Physician providers in Illinois

There are 78 adult reconstructive orthopaedic surgery physician records in Illinois.

The 8 adult reconstructive orthopaedic surgery physician records with the nearest ZIP codes

  1. Robert Burnett, MDNaperville, IL 605631164914198
  2. Ryan Sullivan, MDNaperville, IL 605401063701241
  3. Bradley Zarling, M.D.Aurora, IL 605061881012383
  4. Nishitkumar Patel, M.D.Chicago, IL 606081154362754
  5. Adam Edelstein, MDChicago, IL 606111013279082
  6. Raju Ghate, MDChicago, IL 606111184676371
  7. Jacob Hall, MDChicago, IL 606111851929913
  8. James Potter, MDChicago, IL 606111487231981

Common questions

What is Edward Grant Sutter, MD's NPI number?

Edward Grant Sutter, MD's National Provider Identifier (NPI) is 1295077550, issued on Mar 25, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Edward Grant Sutter, MD located?

The NPPES record lists a practice address at 27650 Ferry RD Ste 100, Warrenville, IL, 60555. Phone: (630) 225-2663. Providers update this record themselves, so call before visiting.

How can I verify Edward Grant Sutter, MD's license?

NPPES lists Illinois license number 036145005, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Edward Grant Sutter, MD prescribe under Medicare Part D?

In 2024, Edward Grant Sutter, MD had 524 Medicare Part D claims for 207 beneficiaries; the average among adult reconstructive orthopaedic surgery physician prescribers was 579. Part D covers Medicare prescriptions only.

What is Edward Grant Sutter, MD's MIPS final score?

The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.