DR. ASHLEY G. SUTTON MD
NPI 1023252608
Pediatrics in Chapel Hill, NC

Active since April 27, 2009PECOS Enrolled
101 MANNING DRIVE CB # 7593, DEPT OF PEDIATRICS, CHAPEL HILL, NC 27599(919) 966-1072(919) 966-8419 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ashley G. Sutton Md NPPES

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

DR. ASHLEY G. SUTTON MD (NPI 1023252608) is an individual pediatrics provider in Chapel Hill, North Carolina, licensed in North Carolina (157361) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023252608
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ASHLEY G. SUTTONCredential: MD
Location Address101 MANNING DRIVE CB # 7593, DEPT OF PEDIATRICSChapel Hill, NC 27599-0001
Mailing Address101 Manning Drive Clb # 7593, Dept Of PediatricsChapel Hill, NC 27599-0001 · (919) 966-1072 · Fax (919) 966-8419
Fax(919) 966-8419
Sole ProprietorYes
Enumeration DateApril 27, 2009
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1023252608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 157361
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
101 MANNING DRIVE CB # 7593, Chapel Hill, NC 27599

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashley G. Sutton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ashley Sutton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
101 MANNING DR
Chapel Hill, NC 27514
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1123 N CHURCH ST
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 408 clinicians in this Medicare group
General Acute Care Hospital
317 WESTERN BLVD
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 137 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Sutton's NPI number?

The NPI number for Ashley Sutton is 1023252608. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Ashley Sutton located?

Ashley Sutton practices at 101 Manning Drive Cb # 7593 Dept Of Pediatrics, Chapel Hill, NC 27599. The listed phone number is (919) 966-1072.

What is Ashley Sutton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ashley Sutton enrolled in Medicare?

Yes. Ashley Sutton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashley Sutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Sutton reassigns Medicare benefits to 3 organizations: University Of North Carolina At Chapel Hill (Chapel Hill, NC), The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC) and Onslow Memorial Hospital Inc (Jacksonville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Sutton accept?

Health plans from Blue Cross and Blue Shield of NC list Ashley Sutton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Sutton was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.