GREGORY E SUTTON MD
NPI 1023016656
Ophthalmology in Lincoln, NE

Q: What is Gregory Sutton's NPI number?

The NPI number for Gregory Sutton is 1023016656. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Q: What is Gregory Sutton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Sutton was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment

80/100

CMS Quality Rating

1710 S 70TH ST, LINCOLN, NE 68506(402) 484-9000(402) 483-4223 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2020, Feb 14, 2019, Jan 29, 2019 (3 updates tracked since 2019).

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About Gregory E Sutton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY E SUTTON MD (NPI 1023016656) is an individual ophthalmology provider in Lincoln, Nebraska, licensed in Nebraska (14353) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1977).

NPPES Registry Identity

NPI1023016656

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameGREGORY E SUTTONCredential: MD

Location Address1710 S 70TH STLincoln, NE 68506-1676

Mailing Address1710 S 70th St, Po Box 6068Lincoln, NE 68506-1676 · (402) 484-9000 · Fax (402) 483-4223

Phone(402) 484-9000

Fax(402) 483-4223

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1977

Enumeration DateJuly 8, 2005

Last NPPES UpdateSeptember 1, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2020

✔ NPI 1023016656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NE · 14353

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 14353 (NE)

Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License 14353 (NE)

1710 S 70TH ST, Lincoln, NE 68506

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Other Identifiers 3

Medicaid10025619700NE

Medicaid100367060AKS

Other1231NE · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory E Sutton Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42128761

PECOS Enrollment IDI20090217000733

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

692 services620 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

633 services420 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

589 services348 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

399 services379 patients

Removal of cataract with insertion of prosthetic lens 66984

382 services227 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

353 services353 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

257 services255 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

242 services239 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

167 services158 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

83 services61 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

55 services49 patients

Complex removal of cataract with insertion of prosthetic lens 66982

44 services32 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

33 services33 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

33 services33 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

27 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

21 services20 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

19 services19 patients

Release of scar tissue between lens and retina using a laser 67031

This procedure involves using a laser to break up scar tissue that has formed between the lens and retina in your eye. This can help improve your vision by allowing light to reach the retina more effectively. It's a safe and common treatment for certain eye conditions.

17 services14 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

14 services14 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280003

Location1600 South 48th StLincoln, NE 68506 · Lancaster County

Emergency services Birthing friendly

Lincoln Surgical Hospital

Acute Care Hospitals · Lincoln, NE

OwnershipProprietary

CMS Certification Number280127

Location1710 South 70th StreetLincoln, NE 68506 · Lancaster County

Beatrice Community Hospital & Health Center, Inc

Critical Access Hospitals · Beatrice, NE

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number281364

LocationP O Box 278, 4800 Hospital ParkwayBeatrice, NE 68310 · Gage County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

33.34

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD PAUL SAUBERAN M.D.

Ophthalmology