ADAM VINCENT SUTTON M.D.
NPI 1154664290
Dermatology in Omaha, NE

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
4014 LEAVENWORTH ST, OMAHA, NE 68105(402) 552-7928(402) 552-3229 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2018, Mar 17, 2018, Jul 5, 2017 (3 updates tracked since 2017).

About Adam Vincent Sutton M.d. NPPES

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

ADAM VINCENT SUTTON M.D. (NPI 1154664290) is an individual dermatology provider in Omaha, Nebraska, licensed in Nebraska (30830) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154664290
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameADAM VINCENT SUTTONCredential: M.D.
Location Address4014 LEAVENWORTH STOmaha, NE 68105-1053
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Fax(402) 552-3229
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2013
Last NPPES UpdateDecember 6, 20183 updates tracked since enumeration
NPI 1154664290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NE · 30830
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4014 LEAVENWORTH ST, Omaha, NE 68105

Accepted 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

Adam Vincent 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 ID9335441799
PECOS Enrollment IDI20180920001783
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 31

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
260 services195 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.
244 services166 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
150 services107 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.
137 services137 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
118 services97 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
98 services27 patients

Hospital Affiliations CMS Care Compare 5

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Great Plains Health

Acute Care Hospitals · North Platte, NE
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280065
Location601 West Leota StNorth Platte, NE 69101 · Lincoln County
Emergency services Birthing friendly

Columbus Community Hospital, Inc

Acute Care Hospitals · Columbus, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280111
Location4600 38th StColumbus, NE 68601 · Platte County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68105 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 20

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

Student in an Organized Health Care Education/Training Program
4014 LEAVENWORTH ST
OMAHA, NE 68105
Dermatology
4014 LEAVENWORTH ST
OMAHA, NE 68105
Physician Assistant
4014 LEAVENWORTH ST
OMAHA, NE 68105
Colon & Rectal Surgery
4014 LEAVENWORTH ST
OMAHA, NE 68105
Physician Assistant
4014 LEAVENWORTH ST
OMAHA, NE 68105
Physician Assistant
4014 LEAVENWORTH ST
OMAHA, NE 68105
Oral & Maxillofacial Surgery
4014 LEAVENWORTH ST
OMAHA, NE 68105
Nurse Practitioner (Primary Care)
4014 LEAVENWORTH ST
OMAHA, NE 68105

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 Adam Sutton's NPI number?

The NPI number for Adam Sutton is 1154664290. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Adam Sutton located?

Adam Sutton practices at 4014 Leavenworth St, Omaha, NE 68105. The listed phone number is (402) 552-7928.

What is Adam Sutton's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Adam Sutton enrolled in Medicare?

Yes. Adam 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 Adam Sutton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Adam 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 Adam Sutton affiliated with any hospitals?

According to CMS data, Adam Sutton is affiliated with The Nebraska Medical Center, Great Plains Health, Columbus Community Hospital, Inc, Bellevue Medical Center, LLC and Kearney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Sutton was last updated on December 6, 2018. 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.