MR. JAMES DAVID SUTTON M.D.
NPI 1336252774
Ophthalmology in Ocean Springs, MS

Q: What is James Sutton's NPI number?

The NPI number for James Sutton is 1336252774. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is James Sutton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for James Sutton was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment

5.57/100

CMS Quality Rating

3631 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564(228) 875-2020(228) 875-2036 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. James David Sutton M.d. NPPES

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

MR. JAMES DAVID SUTTON M.D. (NPI 1336252774) is an individual ophthalmology provider in Ocean Springs, Mississippi, licensed in Mississippi (12585) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Singing River Gulfport, and is a graduate of University Of Kentucky College Of Medicine (1985).

NPPES Registry Identity

NPI1336252774

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMR. JAMES DAVID SUTTONCredential: M.D.

Location Address3631 BIENVILLE BLVDOcean Springs, MS 39564

Mailing Address3631 Bienville BlvdOcean Springs, MS 39564 · (228) 875-2020 · Fax (228) 875-2036

Phone(228) 875-2020

Fax(228) 875-2036

Sole ProprietorYes

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1985

Enumeration DateAugust 17, 2006

Last NPPES UpdateSeptember 24, 2008

✔ NPI 1336252774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MS · 12585

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3631 BIENVILLE BLVD, Ocean Springs, MS 39564

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Other Identifiers 5

Medicare NSC0727040001MS

Medicare PIN180000077MS

Medicaid00017346MS

Other180008513MS · Railroad Medicare

Medicare UPINE64833

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming and more.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

Mr. James David 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 ID6002903846

PECOS Enrollment IDI20071026000130

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 12

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,424 services1,384 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

748 services692 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.

604 services385 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

521 services206 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

351 services351 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

299 services176 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.

218 services201 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

122 services92 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

90 services87 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

49 services45 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

21 services20 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

18 services12 patients

Hospital Affiliations CMS Care Compare

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

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250123

Location15200 Community RoadGulfport, MS 39503 · Harrison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39564 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

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.

5.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

18.57

Referred Medical Equipment & Supplies CMS DME claims 5

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

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

3 suppliers86 claims86 services$63.67 avg. paid by Medicare

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers15 claims24 services$27.19 avg. paid by Medicare

Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200

Other-Vision, Hearing, and Speech Services · category OC000N

3 suppliers21 claims33 services$35.76 avg. paid by Medicare

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203

Other-Vision, Hearing, and Speech Services · category OC000N

3 suppliers70 claims125 services$35.95 avg. paid by Medicare

U-v lens, per lens V2755

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers14 claims26 services$10.95 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 12

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

MISSISSIPPI EYE ASSOCIATES

Ophthalmology

3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564

Jackson County (228) 875-2020

BENJAMIN WALKER APPELO MD

Ophthalmology

3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564

Jackson County (228) 875-2020

DR. WILLIAM VAN WURM MD

Pediatrics

3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564

Jackson County (228) 818-0585

AUBREY PHILLIPS

Nurse Practitioner (Family)

3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564

Jackson County (228) 818-0585

HEATHER RHODEN, MD, PLLC

Pediatrics

3631 BIENVILLE BLVD, SUITE A
OCEAN SPRINGS, MS 39564

Jackson County (228) 818-0585

VAN WURM MD,PLLC

Pediatrics

3631 BIENVILLE BLVD, SUITE A
OCEAN SPRINGS, MS 39564

Jackson County (228) 818-0585

ERIN PETERSEN MD

Ophthalmology

3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564

Jackson County (228) 875-2020

DEBRA LUCAS LAPRAD M.D.

Ophthalmology

3631 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564

Jackson County (228) 875-2020

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 1336252774. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is James Sutton located?

James Sutton practices at 3631 Bienville Blvd, Ocean Springs, MS 39564. The listed phone number is (228) 875-2020.

What is James Sutton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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 Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Molina Healthcare and Oscar Health Plan, Inc. and 2 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.

Is James Sutton affiliated with any hospitals?

According to CMS data, James Sutton is affiliated with Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for James Sutton was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.