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DR. JAMES EDWARD SUTTON M.D.
NPI 1316992498
Internal Medicine in Garland, TX

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
700 WALTER REED BLVD, SUITE 204, GARLAND, TX 75042(972) 487-5462(972) 487-5277 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Edward Sutton M.d. NPPES

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

DR. JAMES EDWARD SUTTON M.D. (NPI 1316992498) is an individual internal medicine provider in Garland, Texas, licensed in Texas (H9484) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Lake Pointe, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1989).

NPPES Registry Identity

NPI1316992498
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES EDWARD SUTTONCredential: M.D.
Location Address700 WALTER REED BLVD, SUITE 204Garland, TX 75042-3701
Mailing Address700 Walter Reed Blvd, Suite 204Garland, TX 75042-3701 · (972) 487-5462 · Fax (972) 487-5277
Phone(972) 487-5462
Fax(972) 487-5277
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1989
Enumeration DateMay 24, 2006
Last NPPES UpdateSeptember 23, 2011
✔ NPI 1316992498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · H9484
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.
700 WALTER REED BLVD, Garland, TX 75042
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Other Identifiers 5

Medicare PIN87W728TX
Medicare PIN110126716TX
Other87W728TX · Bcbs
Medicare UPINF29584TX
Medicaid125807101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. James Edward Sutton M.d. 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 ID1951436385
PECOS Enrollment IDI20100324000150
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 6

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.
315 services146 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
141 services75 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
87 services86 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services63 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$14.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers22 claims22 services$65.05 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 20

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

FATHIMA A ARAB MD
Internal Medicine
700 WALTER REED BLVD, SUITE 204
GARLAND, TX 75042
Dallas County (972) 579-5462
SRILAKSHMI CHAVALI M.D
Hospitalist
700 WALTER REED BLVD, SUITE 204
GARLAND, TX 75042
Dallas County (972) 487-5462
DR. SHARON SUE CASSIDY M.D.
Internal Medicine (Pulmonary Disease)
700 WALTER REED BLVD, SUITE 203
GARLAND, TX 75042
Dallas County (972) 494-1446
DR. VIJAYAVALLI LITTLE M.D.
Hospitalist
700 WALTER REED BLVD, SUITE 204
GARLAND, TX 75042
Dallas County (972) 487-5462
JASPER MICHAEL NEUSE CRNA
Nurse Anesthetist, Certified Registered
700 WALTER REED BLVD, STE.302
GARLAND, TX 75042
Dallas County (972) 276-6100
SAFIA RAZA M.D.
Internal Medicine
700 WALTER REED BLVD, SUITE #204
GARLAND, TX 75042
Dallas County (972) 487-5462
HEALTH TEXAS PROVIDER NETWORK
Durable Medical Equipment & Medical Supplies
700 WALTER REED BLVD, SUITE 203
GARLAND, TX 75042
Dallas County (972) 494-1446
MRS. CYNTHIA CHERNYAKHOVSKY P.A.C.
Physician Assistant
700 WALTER REED BLVD, SUITE 311
GARLAND, TX 75042
Dallas County (972) 487-6400

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 1316992498. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is James Sutton located?

James Sutton practices at 700 Walter Reed Blvd Suite 204, Garland, TX 75042. The listed phone number is (972) 487-5462.

What is James Sutton's specialty?

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

Is James Sutton enrolled in Medicare?

Yes. James 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 James Sutton accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas 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.

Is James Sutton affiliated with any hospitals?

According to CMS data, James Sutton is affiliated with Baylor Scott And White Medical Center Lake Pointe.

When was this NPI record last updated?

The NPPES record for James Sutton was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.