MRS. TORI RENEE SUTTON PA
NPI 1528088051
Physician Assistant in Belleville, IL

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-6220 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2023, Oct 27, 2020, Dec 17, 2019 and 1 more (4 updates tracked since 2015).

About Mrs. Tori Renee Sutton Pa NPPES

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

MRS. TORI RENEE SUTTON PA (NPI 1528088051) is an individual physician assistant in Belleville, Illinois, licensed in Missouri (2003004296) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1528088051
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TORI RENEE SUTTONCredential: PA
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address4500 Memorial DrBelleville, IL 62226-5360 · (618) 257-6220
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 9, 20234 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
NPI 1528088051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2003004296
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4500 MEMORIAL DR, Belleville, IL 62226

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

Mrs. Tori Renee Sutton Pa 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 ID345226668
PECOS Enrollment IDI20040628000668
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 2

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.
102 services77 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.
76 services74 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%125 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
Internal Medicine
4500 MEMORIAL DR
BELLEVILLE, IL 62226

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 Tori Sutton's NPI number?

The NPI number for Tori Sutton is 1528088051. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Tori Sutton located?

Tori Sutton practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-6220.

What is Tori Sutton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tori Sutton enrolled in Medicare?

Yes. Tori 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.

Is Tori Sutton affiliated with any hospitals?

According to CMS data, Tori Sutton is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tori Sutton was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.