DR. MATTHEW ALAN SUTTON MD
NPI 1396979217
Family Medicine in Waukee, IA

Active since May 06, 2009PECOS EnrolledAccepts Medicare Assignment
842 NE ALICES RD, WAUKEE, IA 50263(515) 875-9610(515) 875-9611 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2021, Aug 7, 2020, Jun 22, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Matthew Alan Sutton Md NPPES

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

DR. MATTHEW ALAN SUTTON MD (NPI 1396979217) is an individual family medicine provider in Waukee, Iowa, licensed in Iowa (MD-46955) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Des Moines, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2009).

NPPES Registry Identity

NPI1396979217
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW ALAN SUTTONCredential: MD
Location Address842 NE ALICES RDWaukee, IA 50263-8857
Mailing AddressPo Box 424Des Moines, IA 50302-0424 · (515) 875-9255 · Fax (515) 875-9223
Fax(515) 875-9611
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2009
Enumeration DateMay 6, 2009
Last NPPES UpdateJanuary 11, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
NPI 1396979217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IA · MD-46955 Licensed in AZ · 45937
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
842 NE ALICES RD, Waukee, IA 50263

Secondary Practice Location 1

Location 15950 University Ave Ste 220West Des Moines, IA 50266-8231 · Phone (515) 875-9410

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Matthew Alan Sutton Md 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 ID1951567320
PECOS Enrollment IDI20200618000663
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 24

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
304 services179 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.
296 services157 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.
188 services128 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
160 services130 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
123 services119 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
118 services118 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50263 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 5

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

Family Medicine
842 NE ALICES RD
WAUKEE, IA 50263
Physical Therapist
842 NE ALICES RD
WAUKEE, IA 50263
Physical Therapy Assistant
842 NE ALICES RD
WAUKEE, IA 50263
Nurse Practitioner
842 NE ALICES RD
WAUKEE, IA 50263
Family Medicine
842 NE ALICES RD
WAUKEE, IA 50263

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 Matthew Sutton's NPI number?

The NPI number for Matthew Sutton is 1396979217. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Matthew Sutton located?

Matthew Sutton practices at 842 NE Alices Rd, Waukee, IA 50263. The listed phone number is (515) 875-9610.

What is Matthew Sutton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Sutton enrolled in Medicare?

Yes. Matthew 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 Matthew Sutton accept?

Health plans from Medica list Matthew 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 Matthew Sutton was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.