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ANGELA V SUTTON MD
NPI 1265529291
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fishersville, VA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
15 SPORTS MEDICINE DR., SUITE 100, FISHERSVILLE, VA 22939(540) 221-7180(540) 221-7181 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2023, Apr 16, 2021, Apr 9, 2020 (3 updates tracked since 2020).

About Angela V Sutton Md NPPES

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

ANGELA V SUTTON MD (NPI 1265529291) is an individual endocrinology, diabetes & metabolism provider in Fishersville, Virginia, licensed in Virginia (0101241540) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2002).

NPPES Registry Identity

NPI1265529291
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameANGELA V SUTTONCredential: MD
Location Address15 SPORTS MEDICINE DR., SUITE 100Fishersville, VA 22939
Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 932-4629 · Fax (540) 932-5875
Phone(540) 221-7180
Fax(540) 221-7181
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2002
Enumeration DateOctober 10, 2006
Last NPPES UpdateMay 10, 20233 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1265529291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in VA · 0101241540✔ Licensed in SC · 25684
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
15 SPORTS MEDICINE DR., Fishersville, VA 22939
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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

Angela V Sutton 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.

PECOS PAC ID1456445287
PECOS Enrollment IDI20070924000418
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.

Medicare Billing Reassignment

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

Augusta Medical Group
0.3 mi
General Practice
78 MEDICAL CENTER DR
Fishersville, VA 22939
  • Reassigned Medicare billing, Virginia enrollment
  • 434 clinicians in this Medicare group
NPI 1245489590 (540) 932-5162

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
489 services354 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
183 services120 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
109 services85 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
102 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
51 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Lewisgale Hospital Alleghany

Acute Care Hospitals · Low Moor, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490126
LocationOne Arh Lane - PO Box 7Low Moor, VA 24457 · Alleghany County
Emergency services

Bath Community Hospital

Critical Access Hospitals · Hot Springs, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491300
Location106 Park Drive- PO Drawer ZHot Springs, VA 24445 · Bath County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
34%1,153 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
75%963 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%4,368 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
85%115 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%510 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
63%2,203 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
49%2,049 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%2,203 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
45%2,203 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
38%2,203 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers46 claims589 services$18.43 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers46 claims1,334 services$2.34 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
44 suppliers330 claims1,219 services$6.40 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers25 claims25 services$2.58 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers11 claims11 services$1.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
20 suppliers63 claims116 services$1.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

NELLY A MAYBEE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15 SPORTS MEDICINE DR., SUITE 100
FISHERSVILLE, VA 22939
Augusta County (540) 245-7180
RACHEL STEPP PA
Physician Assistant (Medical)
15 SPORTS MEDICINE DR., SUITE
FISHERSVILLE, VA 22939
Augusta County (540) 245-7180
ELEANOR HUTCHENS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15 SPORTS MEDICINE DR., SUITE 100
FISHERSVILLE, VA 22939
Augusta County (540) 221-7180
CHRISTY H HAAS MS, RDN, CDCES
Dietitian, Registered
15 SPORTS MEDICINE DR., SUITE 101
FISHERSVILLE, VA 22939
Augusta County (540) 213-2537
NABEEL I. BABAR M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15 SPORTS MEDICINE DR.
FISHERSVILLE, VA 22939
Augusta County (540) 245-7180

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 Angela Sutton's NPI number?

The NPI number for Angela Sutton is 1265529291. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Angela Sutton located?

Angela Sutton practices at 15 Sports Medicine Dr. Suite 100, Fishersville, VA 22939. The listed phone number is (540) 221-7180.

What is Angela Sutton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Angela Sutton enrolled in Medicare?

Yes. Angela 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 Angela Sutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Sutton reassigns Medicare benefits to Augusta Medical Group (Fishersville, VA). 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 Angela Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Angela Sutton affiliated with any hospitals?

According to CMS data, Angela Sutton is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center, Augusta Health, Lewisgale Hospital Alleghany and Bath Community Hospital.

When was this NPI record last updated?

The NPPES record for Angela Sutton was last updated on May 10, 2023. 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.