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DANIEL SUTTON
NPI 1093133670
Orthopaedic Surgery - Sports Medicine in Batavia, NY

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
8103 OAK ORCHARD RD FL 1, BATAVIA, NY 14020(585) 343-9676 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2024, Dec 6, 2021 (2 updates tracked since 2021).

About Daniel Sutton NPPES

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

DANIEL SUTTON (NPI 1093133670) is an individual sports medicine provider in Batavia, New York, licensed in New York (329517) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Ochsner Rush Hospital, and is a graduate of Meharry Medical College School Of Medicine (2014).

NPPES Registry Identity

NPI1093133670
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDANIEL SUTTON
Location Address8103 OAK ORCHARD RD FL 1Batavia, NY 14020-1092
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-1900
Phone(585) 343-9676
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1093133670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NY · 329517
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 12515 (SD)
8103 OAK ORCHARD RD FL 1, Batavia, NY 14020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Daniel Sutton 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 ID4688083926
PECOS Enrollment IDI20251024004337
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 5

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 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.
57 services40 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.
45 services26 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.
22 services22 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Rush Hospital

Acute Care Hospitals · Meridian, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250069
Location1314 19th AveMeridian, MS 39301 · Lauderdale County
Emergency services Birthing friendly

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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Other Providers at the Same Location NPPES

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

CARLEY MURPHY
Physician Assistant
8103 OAK ORCHARD RD FL 1
BATAVIA, NY 14020
Genesee County (585) 343-9676

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 Daniel Sutton's NPI number?

The NPI number for Daniel Sutton is 1093133670. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Daniel Sutton located?

Daniel Sutton practices at 8103 Oak Orchard Rd Fl 1, Batavia, NY 14020. The listed phone number is (585) 343-9676.

What is Daniel Sutton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Daniel Sutton enrolled in Medicare?

Yes. Daniel 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.

What insurance does Daniel Sutton accept?

Health plans from Medica list Daniel 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.

Is Daniel Sutton affiliated with any hospitals?

According to CMS data, Daniel Sutton is affiliated with Ochsner Rush Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Sutton was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.