1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Physician Assistant
  6. NPI Profile

JAMES D SUTTON PA-C
NPI 1265809024
Physician Assistant in Provo, UT

Active since August 27, 2015PECOS Enrolled
1750 N WYMOUNT TERRACE DRIVE, PROVO, UT 84604(801) 422-2000(801) 422-0959 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Sep 17, 2018, Apr 20, 2018 (3 updates tracked since 2018).

About James D Sutton Pa-c NPPES

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

JAMES D SUTTON PA-C (NPI 1265809024) is an individual physician assistant in Provo, Utah, licensed in Utah (9515819-1206) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265809024
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES D SUTTONCredential: PA-C
Location Address1750 N WYMOUNT TERRACE DRIVEProvo, UT 84604-8600
Mailing Address1750 N Wymount Ter Dr.Provo, UT 80604 · (435) 755-6061 · Fax (435) 994-8362
Phone(801) 422-2000
Fax(801) 422-0959
Sole ProprietorNo
Enumeration DateAugust 27, 2015
Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1265809024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 9515819-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1750 N WYMOUNT TERRACE DRIVE, Provo, UT 84604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James D Sutton Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 James Sutton's NPI number?

The NPI number for James Sutton is 1265809024. It was assigned to this individual provider in the NPPES registry on August 27, 2015.

Where is James Sutton located?

James Sutton practices at 1750 N Wymount Terrace Drive, Provo, UT 84604. The listed phone number is (801) 422-2000.

What is James Sutton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Sutton enrolled in Medicare?

Yes. James Sutton is registered in the Medicare PECOS enrollment system.

What insurance does James Sutton accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list James 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 James Sutton was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.