Doctor profile · Federal record
Dr. Nutaporn Sukontasup, OD
Optometrist (CMS: Optometry) · Fulton, MD
- NPI 1104930817
- Accepts Medicare
- 23 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8115 Maple Lawn Blvd, Suite 135
Fulton, MD 207592681
(443) 804-1173 - Mailing address
-
8315 Academy RD
Ellicott City, MD 210436687
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- January 15, 2017
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Maryland #TA1848
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104930817. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
130
Distinct HCPCS
7
Medicare allowed
$13,143
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 30 | 24 | $135 | |
92014 |
Established patient complete exam of visual system | 27 | 27 | $130 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 19 | 18 | $92 | |
92083 |
Exam of visual field with extended testing | 15 | 12 | $67 | |
92250 |
Photography of the retina | 14 | 13 | $39 | |
92004 |
New patient complete exam of visual system | 13 | 13 | $144 | |
92133 |
Imaging of optic nerve | 12 | 11 | $36 |
In context: peer comparison
Among 3 peers in Fulton Optometrist, average services per provider: 29. This provider delivers 4.5× the peer median.Open Payments
Industry payments received
All-time total
$2,366
Transactions
57
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CooperVision INC. | 17 | $771.04 | |
| Tarsus Pharmaceuticals, INC. | 11 | $359.35 | |
| Johnson & Johnson Vision Care, INC. | 4 | $253.08 | |
| Alcon Vision LLC | 7 | $230.73 | |
| Dompe US, INC. | 3 | $183.32 | |
| Lkc Technologies, INC. | 1 | $157.05 | |
| Sun Pharmaceutical Industries INC. | 4 | $121.00 | |
| Abbvie INC. | 1 | $94.59 | |
| Bausch & Lomb Americas INC. | 4 | $92.83 | |
| Harrow Eye, LLC | 3 | $68.29 | |
| Oyster Point Pharma, INC. | 2 | $34.57 |
By nature of payment
Frequently asked questions
What is Dr. Nutaporn Sukontasup's medical specialty?
Dr. Nutaporn Sukontasup practices Optometrist in Fulton, MD.
Where does Dr. Nutaporn Sukontasup practice?
Dr. Nutaporn Sukontasup practices at 8115 Maple Lawn Blvd, Fulton, MD 207592681. Office phone: 4438041173.
What is Dr. Nutaporn Sukontasup's NPI?
Dr. Nutaporn Sukontasup's National Provider Identifier (NPI) is 1104930817, issued by NPPES.
Does Dr. Nutaporn Sukontasup accept Medicare assignment?
Yes. Dr. Nutaporn Sukontasup accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nutaporn Sukontasup commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient complete exam of visual system (HCPCS 92014); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.