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DR. JAMES MICHAEL SUTTON DMD
NPI 1316916463
Dentist - Oral and Maxillofacial Surgery in Bowling Green, KY

Active since March 14, 2006Opted out of Medicare · through May 2, 2028
1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104(270) 783-0064(270) 901-1997 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Michael Sutton Dmd NPPES

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

DR. JAMES MICHAEL SUTTON DMD (NPI 1316916463) is an individual oral and maxillofacial surgery provider in Bowling Green, Kentucky, licensed in Kentucky (7275) and active in the NPI registry since March 2006. He has opted out of Medicare through May 2, 2028.

NPPES Registry Identity

NPI1316916463
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JAMES MICHAEL SUTTONCredential: DMD
Location Address1802 ROCKINGHAM AVEBowling Green, KY 42104-3348
Mailing Address1802 Rockingham AveBowling Green, KY 42104-3348 · (270) 783-0064 · Fax (270) 901-1997
Phone(270) 783-0064
Fax(270) 901-1997
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1316916463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in KY · 7275
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License 7275 (KY)
1802 ROCKINGHAM AVE, Bowling Green, KY 42104
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Other Identifiers 2

Medicaid7100070660KY
Medicaid710009086KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James Michael Sutton Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 2, 2024 through May 2, 2028.

Opt-Out Effective DateMay 2, 2024
Opt-Out In Effect ThroughMay 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC
Dentist (Oral and Maxillofacial Surgery)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 783-0064
ANDERSON AESTHETICS AND RECONSTRUCTIVE SURGERY PLLC
Surgery (Plastic and Reconstructive Surgery)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 407-1334
EQUITY DERMATOLOGY, PLLC
Dermatology
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 213-7777
DR. SHANE ANTHONY WILLIAMS D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 783-0064
DR. JEFFREY M CLARK DDS
Dentist (Oral and Maxillofacial Surgery)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 783-0064
DR. TOM P CARTER D.M.D.
Dentist (General Practice)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 782-8480

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 1316916463. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is James Sutton located?

James Sutton practices at 1802 Rockingham Ave, Bowling Green, KY 42104. The listed phone number is (270) 783-0064.

What is James Sutton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is James Sutton enrolled in Medicare?

No. James Sutton has opted out of Medicare through May 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does James Sutton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 9 other insurers 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 September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.