PAUL RANDOLPH SUTTON
NPI 1306922026
Internal Medicine in Seattle, WA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105(206) 598-8750 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Randolph Sutton NPPES

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

PAUL RANDOLPH SUTTON (NPI 1306922026) is an individual internal medicine provider in Seattle, Washington, licensed in Washington (MD00036513) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1994).

NPPES Registry Identity

NPI1306922026
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL RANDOLPH SUTTON
Location AddressUWMC-ROOSEVELT, 4245 ROOSEVELT WAY NESeattle, WA 98105-6920
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1994
Enumeration DateOctober 27, 2006
Last NPPES UpdateNovember 20, 2012
NPI 1306922026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WA · MD00036513
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

UWMC-ROOSEVELT, Seattle, WA 98105

Other Identifiers 5

Other0232006WA · L&i
Medicare UPING62470
Other243510Internal Id-motor Vehicle Id
Medicare PINAB23527WA
Medicaid1306922026WA

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

Paul Randolph 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 ID1759421738
PECOS Enrollment IDI20091223000243
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services17 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.
19 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Dermatology
UWMC-ROOSEVELT, 4225 ROOSEVELT WAY NE
SEATTLE, WA 98105

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 Paul Sutton's NPI number?

The NPI number for Paul Sutton is 1306922026. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Paul Sutton located?

Paul Sutton practices at Uwmc-Roosevelt 4245 Roosevelt Way NE, Seattle, WA 98105. The listed phone number is (206) 598-8750.

What is Paul Sutton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Sutton enrolled in Medicare?

Yes. Paul 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 Paul Sutton accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Paul 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 Paul Sutton affiliated with any hospitals?

According to CMS data, Paul Sutton is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Paul Sutton was last updated on November 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.