DR. SCOTT WILLIAM SUTTON M.D.
NPI 1043578370
Emergency Medicine in Winston Salem, NC

Active since April 24, 2012PECOS EnrolledAccepts Medicare Assignment
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-4171 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Scott William Sutton M.d. NPPES

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

DR. SCOTT WILLIAM SUTTON M.D. (NPI 1043578370) is an individual emergency medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2015-01464) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2012).

NPPES Registry Identity

NPI1043578370
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SCOTT WILLIAM SUTTONCredential: M.D.
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressPo Box 344Winston Salem, NC 27102-0344
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2012
Enumeration DateApril 24, 2012
Last NPPES UpdateFebruary 26, 2018
✔ NPI 1043578370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2015-01464
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
MEDICAL CENTER BLVD, Winston Salem, NC 27157

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott William Sutton M.d. 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 ID4082995139
PECOS Enrollment IDI20170103000956
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

2

Medicare enrollment records show Scott Sutton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Multi-Specialty
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 580 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 27157 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.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

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 Scott Sutton's NPI number?

The NPI number for Scott Sutton is 1043578370. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Scott Sutton located?

Scott Sutton practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-4171.

What is Scott Sutton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Scott Sutton enrolled in Medicare?

Yes. Scott Sutton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Scott Sutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Sutton reassigns Medicare benefits to 2 organizations: Wake Forest University Health Sciences (Winston Salem, NC) and Wake Forest Emergency Providers (Statesville, 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 Scott Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Sutton accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Scott 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 Scott Sutton was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.