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DR. KAREN MICHELLE SUTTON M.D.
NPI 1497937007
Orthopaedic Surgery - Sports Medicine in Stamford, CT

Active since December 05, 2007PECOS EnrolledAccepts Medicare Assignment
1 BLACHLEY RD, STAMFORD, CT 06902(203) 705-0725 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2020, Mar 17, 2018, Jan 15, 2018 (3 updates tracked since 2018).

About Dr. Karen Michelle Sutton M.d. NPPES

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

DR. KAREN MICHELLE SUTTON M.D. (NPI 1497937007) is an individual sports medicine provider in Stamford, Connecticut, licensed in Connecticut (47838) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1497937007
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameDR. KAREN MICHELLE SUTTONCredential: M.D.
Location Address1 BLACHLEY RDStamford, CT 06902-0002
Mailing AddressPo Box 29234New York, NY 10087-9234 · (203) 705-0725
Phone(203) 705-0725
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2003
Enumeration DateDecember 5, 2007
Last NPPES UpdateDecember 31, 20203 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
✔ NPI 1497937007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses✔ Licensed in CT · 47838✔ Licensed in NY · 291091
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
1 BLACHLEY RD, Stamford, CT 06902
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Secondary Practice Location 1

Location 1535 E 70th StNew York, NY 10021-4823 · Phone (203) 705-0725

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen Michelle 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 ID1850468000
PECOS Enrollment IDI20090831000133, I20171016001425
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Sutton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ny Society For The Relief Of Ruptured & Crippled Maintaining
30 mi
Orthopaedic Surgery
535 E 70TH ST
New York, NY 10021
  • Reassigned Medicare billing, Connecticut and New York enrollments
  • 37 clinicians in this Medicare group
NPI 1902243488 (212) 774-7598
Yale University
35 mi
Health Service
55 LOCK ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 149 clinicians in this Medicare group
NPI 1093862740 (203) 432-0076

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,800 services17 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
136 services22 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.
73 services37 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
56 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 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.
19 services14 patients

Hospital Affiliations CMS Care Compare

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

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

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.

MORGAN JANNEN MILLER DPT
Physical Therapist
1 BLACHLEY RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-8592
SAMANTHA WISNEFSKY PA-C
Physician Assistant
1 BLACHLEY RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-2277
ARGHIRIS N BARBADIMOS MD
Physical Medicine & Rehabilitation (Pain Medicine)
1 BLACHLEY RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-2277
DR. STEVEN JOSEPH MCANANY MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1 BLACHLEY RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 705-0690
MADELINE TADLEY MD
Orthopaedic Surgery (Hand Surgery)
1 BLACHLEY RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 705-0330
KRISTEN DONOHUE-GONZALEZ N.P.
Clinical Nurse Specialist (Family Health)
1 BLACHLEY RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-2277
FELICIA F MINGRONE PA-C
Physician Assistant
1 BLACHLEY RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 705-0691
MACKENZIE PATTERSON PA-C
Physician Assistant (Surgical)
1 BLACHLEY RD
STAMFORD, CT 06902
Western Connecticut Planning Region (037) 050-7252

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 Karen Sutton's NPI number?

The NPI number for Karen Sutton is 1497937007. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Where is Karen Sutton located?

Karen Sutton practices at 1 Blachley Rd, Stamford, CT 06902. The listed phone number is (203) 705-0725.

What is Karen Sutton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Karen Sutton enrolled in Medicare?

Yes. Karen 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.

Which organizations bill Medicare for Karen Sutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Sutton reassigns Medicare benefits to 2 organizations: Ny Society For The Relief Of Ruptured & Crippled Maintaining (New York, NY) and Yale University (New Haven, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Sutton accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen 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 Karen Sutton affiliated with any hospitals?

According to CMS data, Karen Sutton is affiliated with Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Karen Sutton was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.