Jerry Patrick Skuthan, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2025-02910 Issued in NC

Practice address

4414 Lake Boone TRL Ste 402
Raleigh, NC 27607-7520

Phone

(919) 567-6133

Fax

(919) 567-6134

NPI assigned

Apr 19, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Edward Via Col of Osteo Medicine-Virginia Campus, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rex Hospital Hospital, Raleigh, NC, CCN 340114

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jskuthan157209@direct.rivhs.com
• Direct secure messaging: jskuthan1293752@direct.unc.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Carolina MG, LLC

  • Hospitalist Physician
  • Raleigh, NC
  • NPI 1215741640

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Rex Hospital Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1134997463
  NPD
• Rex Hospital Inc

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1144248683
  NPD
• Rex Hospital, Inc

  • Pharmacy
  • Raleigh, NC
  • NPI 1174624803
  NPD
• Front Royal Family Practice, P.C.

  • Family Medicine Physician
  • Front Royal, VA
  • NPI 1750434072
  NPD (past)
• Sentara RMH Medical Center

  • General Practice Physician
  • Harrisonburg, VA
  • NPI 1417027608
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rex Hospital Inc.

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1497797088
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1700449295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 402",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077520",
            "telephone_number": "919-567-6133",
            "fax_number": "919-567-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 402",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077520",
            "telephone_number": "919-567-6133",
            "fax_number": "919-567-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUTHAN",
        "first_name": "JERRY",
        "middle_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2025-02910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jskuthan1293752@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/Txt",
            "address_1": "4414 Lake Boone Trl Ste 402",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roy Lee Skinner, RPH
• Sharon J Skoll, PH.D.
• Heather Lee Skorput, DPT
• Steven Skovran, PHARMD
• John Albert Skowron, PT
• Robert Gordon Skwerer, MD
• Sky Care ABA North Carolina LLC
• Sky Shuttle Inc
• Skyline Hair Salon LLC
• Ann Rector Slade, PHARMACIST

• Obstetrics & Gynecology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.