JOHN P SUTTON III MD
NPI 1265402762
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Columbia, SC
About John P Sutton Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN P SUTTON III MD (NPI 1265402762) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Columbia, South Carolina, licensed in South Carolina (17380) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses 2
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Other Identifiers 1
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
John P Sutton Iii Md 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.
Areas of Expertise CMS Part B claims 10
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.
Musc Medical Center
Acute Care Hospitals · Charleston, SCMusc Health Columbia Medical Center Downtown
Acute Care Hospitals · Columbia, SCMusc Health Florence Medical Center
Acute Care Hospitals · Florence, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29204 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.
Reported Quality Measures
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.
COLUMBIA, SC 29204
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 John Sutton's NPI number?
The NPI number for John Sutton is 1265402762. It was assigned to this individual provider in the NPPES registry on January 25, 2006.
Where is John Sutton located?
John Sutton practices at 2750 Laurel St Ste 305, Columbia, SC 29204. The listed phone number is (803) 254-5140.
What is John Sutton's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is John Sutton enrolled in Medicare?
Yes. John 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 John Sutton accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list John 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 John Sutton affiliated with any hospitals?
According to CMS data, John Sutton is affiliated with Musc Medical Center, Musc Health Columbia Medical Center Downtown and Musc Health Florence Medical Center.
When was this NPI record last updated?
The NPPES record for John Sutton was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
