DR. DARE SUTTON OD
NPI 1205400819
Optometrist in Louisville, KY

Active since May 18, 2021PECOS EnrolledAccepts Medicare Assignment
4216 SUMMIT PLAZA DR, LOUISVILLE, KY 40241(502) 327-1091 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2022, Jun 9, 2021, May 18, 2021 (3 updates tracked since 2021).

About Dr. Dare Sutton Od NPPES

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

DR. DARE SUTTON OD (NPI 1205400819) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (2249DT) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2021).

NPPES Registry Identity

NPI1205400819
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DARE SUTTONCredential: OD
Location Address4216 SUMMIT PLAZA DRLouisville, KY 40241-8106
Mailing Address967 Scott RdEddyville, KY 42038-8139 · (270) 601-1042
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2021
Enumeration DateMay 18, 2021
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1205400819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in KY · 2249DT Licensed in IN · 18004263A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4216 SUMMIT PLAZA DR, Louisville, KY 40241

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

Dr. Dare Sutton Od 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 ID1254734395
PECOS Enrollment IDI20210805002254
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 2

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
28 services26 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 40241 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 3

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

Optometrist
4216 SUMMIT PLAZA DR
LOUISVILLE, KY 40241
Optometrist
4216 SUMMIT PLAZA DR
LOUISVILLE, KY 40241
Eyewear Supplier
4216 SUMMIT PLAZA DR
LOUISVILLE, KY 40241

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 Dare Sutton's NPI number?

The NPI number for Dare Sutton is 1205400819. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Dare Sutton located?

Dare Sutton practices at 4216 Summit Plaza Dr, Louisville, KY 40241. The listed phone number is (502) 327-1091.

What is Dare Sutton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dare Sutton enrolled in Medicare?

Yes. Dare 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 Dare Sutton accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Dare 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 Dare Sutton was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.