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JAMES THOMAS SUTTON M.D.
NPI 1043215635
Surgery - Vascular Surgery in Ormond Beach, FL

Active since June 20, 2005PECOS Enrolled
588 STERTHAUS DR, ORMOND BEACH, FL 32174(386) 672-9503(386) 672-0386 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2019, Jul 23, 2019 (2 updates tracked since 2019).

About James Thomas Sutton M.d. NPPES

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

JAMES THOMAS SUTTON M.D. (NPI 1043215635) is an individual vascular surgery provider in Ormond Beach, Florida, licensed in Florida (ME0044108) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043215635
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJAMES THOMAS SUTTONCredential: M.D.
Location Address588 STERTHAUS DROrmond Beach, FL 32174-5128
Mailing Address588 Sterthaus DrOrmond Beach, FL 32174-5128 · (386) 672-9503 · Fax (386) 672-0386
Phone(386) 672-9503
Fax(386) 672-0386
Sole ProprietorYes
Enumeration DateJune 20, 2005
Last NPPES UpdateAugust 5, 20192 updates tracked since enumeration
✔ NPI 1043215635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in FL · ME0044108
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
588 STERTHAUS DR, Ormond Beach, FL 32174
Open in Google Maps ↗

Other Identifiers 6

OtherD57714Upin
Other64518FL · Bsbsfl
OtherDT5266Rr Medicare Group
Other020007754Rr Medicare Individual
Other004179FL · Fhcp
OtherGT215AMedicare-cms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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 (PECOS)

James Thomas Sutton M.d. 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.

Areas of Expertise CMS Part B claims 3

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.
23 services19 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.
17 services17 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

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

EVOLVES VASCULAR LAB, LLC
Surgery (Vascular Surgery)
588 STERTHAUS DR
ORMOND BEACH, FL 32174
Flagler County (386) 672-9501
PATRIOT ONCOLOGY LLC
Clinic/Center (Oncology)
588 STERTHAUS DR
ORMOND BEACH, FL 32174
Flagler County (904) 825-4368

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 James Sutton's NPI number?

The NPI number for James Sutton is 1043215635. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is James Sutton located?

James Sutton practices at 588 Sterthaus Dr, Ormond Beach, FL 32174. The listed phone number is (386) 672-9503.

What is James Sutton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is James Sutton enrolled in Medicare?

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

What insurance does James Sutton accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list James 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 James Sutton was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.