DR. JARED ALLAN SUTTON M.D.
NPI 1104119403
Internal Medicine - Critical Care Medicine in Fort Gordon, GA
About Dr. Jared Allan Sutton M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JARED ALLAN SUTTON M.D. (NPI 1104119403) is an individual critical care medicine provider in Fort Gordon, Georgia, licensed in South Dakota (10182) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2011).
NPPES Registry Identity
Specialties & Licenses 2
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. Jared Allan 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jared Sutton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Watertown, SD 57201
- Reassigned Medicare billing, South Dakota enrollment
- 109 clinicians in this Medicare group
Wall, SD 57790
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Johnstown, CO 80534
- Reassigned Medicare billing, South Dakota enrollment
- 4 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prairie Lakes Healthcare System, Inc
Acute Care Hospitals · Watertown, SDMonument Health Spearfish Hospital
Acute Care Hospitals · Spearfish, SDMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
FT. GORDON, GA 30905
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 Jared Sutton's NPI number?
The NPI number for Jared Sutton is 1104119403. It was assigned to this individual provider in the NPPES registry on May 18, 2011.
Where is Jared Sutton located?
Jared Sutton practices at 300 Hospital Road Emergency Department, Fort Gordon, GA 30905. The listed phone number is (605) 520-1755.
What is Jared Sutton's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Jared Sutton enrolled in Medicare?
Yes. Jared 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 Jared Sutton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jared Sutton reassigns Medicare benefits to 3 organizations: Prairie Lakes Health Care System Inc (Watertown, SD), Monument Health Rapid City Hospital, Inc. (Wall, SD) and Vibra Physicians LLC (Johnstown, CO). 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 Jared Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jared Sutton accept?
Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Jared 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 Jared Sutton affiliated with any hospitals?
According to CMS data, Jared Sutton is affiliated with Prairie Lakes Healthcare System, Inc, Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.
When was this NPI record last updated?
The NPPES record for Jared Sutton was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jared Allan Sutton, M.D. · NPI 1104119403
Critical Care Medicine physician in Fort Gordon, Georgia. Individual provider, active in the CMS NPPES registry since May 18, 2011.
## Identity
- **NPI:** 1104119403 (Entity type: Individual)
- **Enumerated:** May 18, 2011
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 10182 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 HOSPITAL ROAD, EMERGENCY DEPARTMENT, Fort Gordon, GA 30905-5650
- **Phone:** (605) 520-1755
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Prairie Lakes Health Care System Inc (NPI 1396525143, Watertown, SD); Monument Health Rapid City Hospital, Inc. (NPI 1265811285, Wall, SD); Vibra Physicians LLC (NPI 1659705424, Johnstown, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 2011
## Record status
- **NPPES last updated:** March 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104119403) · Data from the CMS NPPES public registry.