ADAM SUTTON
NPI 1225600273
Nurse Anesthetist, Certified Registered in Asheville, NC

Active since July 10, 2021Accepts Medicare Assignment
100/100
CMS Quality Rating
28 SCHENCK PKWY STE 316, ASHEVILLE, NC 28803(828) 654-6498 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2022, Jul 10, 2021 (2 updates tracked since 2021).

About Adam Sutton NPPES

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

ADAM SUTTON (NPI 1225600273) is an individual nurse anesthetist, certified registered in Asheville, North Carolina, licensed in North Carolina (139765) and active in the NPI registry since July 2021. He is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225600273
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameADAM SUTTON
Location Address28 SCHENCK PKWY STE 316Asheville, NC 28803-5053
Mailing Address28 Schenck Pkwy Ste 316Asheville, NC 28803-5053
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 10, 2021
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1225600273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 139765
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 228800 (NC)
28 SCHENCK PKWY STE 316, Asheville, NC 28803

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

Adam 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 ID3779951405
PECOS Enrollment IDI20221130000716

Medicare Billing Reassignment

Medicare enrollment records show Adam Sutton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
310 LONG SHOALS RD STE 110
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • 824 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 4

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
30 services30 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
12 services11 patients
Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older) 00562
This procedure involves administering anesthesia to ensure comfort and safety during heart or large blood vessel operations. A heart-lung machine is used to take over the heart's function, allowing the surgeon to work on a still heart. Suitable for individuals aged 1 year and older.
11 services11 patients
Insertion of tube in pulmonary artery for monitoring 93503
This procedure involves placing a tube into your pulmonary artery, which is a blood vessel in your lungs. The tube helps monitor heart function and blood flow, providing vital information for your treatment. It's typically done under local anesthesia to minimize discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 1225600273. It was assigned to this individual provider in the NPPES registry on July 10, 2021.

Where is Adam Sutton located?

Adam Sutton practices at 28 Schenck Pkwy Ste 316, Asheville, NC 28803. The listed phone number is (828) 654-6498.

What is Adam Sutton's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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.

Which organization bills Medicare for Adam Sutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Sutton reassigns Medicare benefits to Mission Health Community Multispecialty Providers, LLC (Arden, NC). The 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 Adam Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Sutton accept?

Health plans from Oscar Health Plan of North Carolina, Inc 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 Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Adam Sutton was last updated on November 2, 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.