RYAN MATTHEW SUTTON
NPI 1265095889
Orthopaedic Surgery in Scranton, PA
About Ryan Matthew Sutton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN MATTHEW SUTTON (NPI 1265095889) is an individual orthopaedic surgery provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD475447) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2019).
NPPES Registry Identity
Specialties & Licenses
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
Ryan Matthew 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ryan Sutton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scranton, PA 18503
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 398 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger-Community Medical Center
Acute Care Hospitals · Scranton, PAGeisinger Wyoming Valley Medical Center
Acute Care Hospitals · Wilkes Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SCRANTON, PA 18503
SCRANTON, PA 18503
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 Ryan Sutton's NPI number?
The NPI number for Ryan Sutton is 1265095889. It was assigned to this individual provider in the NPPES registry on April 18, 2019.
Where is Ryan Sutton located?
Ryan Sutton practices at 300 Lackawanna Ave, Scranton, PA 18503. The listed phone number is (570) 961-3823.
What is Ryan Sutton's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Ryan Sutton enrolled in Medicare?
Yes. Ryan 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 Ryan Sutton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Sutton reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Scranton, PA) and Rothman Orthopaedics Of New Jersey, LLC (Marlton, NJ). 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 Ryan Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Sutton accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ryan 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 Ryan Sutton affiliated with any hospitals?
According to CMS data, Ryan Sutton is affiliated with Geisinger-Community Medical Center and Geisinger Wyoming Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Ryan Sutton was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Ryan Matthew Sutton · NPI 1265095889
Orthopaedic Surgery physician in Scranton, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1265095889 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD475447 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LACKAWANNA AVE, Scranton, PA 18503-2001
- **Phone:** (570) 961-3823 · **Fax:** (570) 207-5988
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1699280107, Scranton, PA); Rothman Orthopaedics Of New Jersey, LLC (NPI 1215978630, Marlton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2019
## Record status
- **NPPES last updated:** July 21, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1265095889) · Data from the CMS NPPES public registry.