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DR. WILLIAM K SUTTON M.D.
NPI 1437136751
Obstetrics & Gynecology - Obstetrics in Livingston, TN

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
529 MEDICAL DR, LIVINGSTON, TN 38570(931) 823-9970 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William K Sutton M.d. NPPES

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

DR. WILLIAM K SUTTON M.D. (NPI 1437136751) is an individual obstetrics provider in Livingston, Tennessee, licensed in Tennessee (62124) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Muncie, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1996).

NPPES Registry Identity

NPI1437136751
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameDR. WILLIAM K SUTTONCredential: M.D.
Location Address529 MEDICAL DRLivingston, TN 38570-1880
Mailing Address221 N Celia Ave, Attn: Debera BarkerMuncie, IN 47303-4609 · (765) 282-8905
Phone(931) 823-9970
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1996
Enumeration DateDecember 28, 2005
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1437136751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in TN · 62124
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 01052108 (IN)
529 MEDICAL DR, Livingston, TN 38570
Open in Google Maps ↗

Secondary Practice Location 1

Location 1210 N Tillotson AveMuncie, IN 47304-3988 · Phone (765) 286-3900 · Fax (765) 281-4299

Other Identifiers 4

Medicaid200240760AIN
Other000000083913IN · Anthem
Other160049155IN · Medicare Railroad
Other351425221101IN · Caresource

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William K 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 ID648233072
PECOS Enrollment IDI20210521000006
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38570 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 3

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

TWIN LAKES FAMILY PRACTICE PC
Family Medicine
529 MEDICAL DR, SUITE A
LIVINGSTON, TN 38570
Overton County (931) 403-1710
ANDREA M HUMPHREY M.D.
Family Medicine
529 MEDICAL DR
LIVINGSTON, TN 38570
Overton County (931) 823-9970
AMG- LIVINGSTON LLC
Family Medicine
529 MEDICAL DR, SUITE B
LIVINGSTON, TN 38570
Overton County (931) 823-1266

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 William Sutton's NPI number?

The NPI number for William Sutton is 1437136751. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is William Sutton located?

William Sutton practices at 529 Medical Dr, Livingston, TN 38570. The listed phone number is (931) 823-9970.

What is William Sutton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is William Sutton enrolled in Medicare?

Yes. William 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 William Sutton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BlueCross BlueShield of South Carolina and BlueCross BlueShield of Tennessee and 2 other insurers list William 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 William Sutton was last updated on June 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.