DR. JAMES KIRK SUTTON D.O.
NPI 1598029506
Emergency Medicine in Pontiac, MI

Q: What is James Sutton's NPI number?

The NPI number for James Sutton is 1598029506. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Q: What is James Sutton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for James Sutton was last updated on June 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 25, 2012PECOS EnrolledAccepts Medicare Assignment

50 N PERRY ST, PONTIAC, MI 48342(248) 338-5000(248) 338-5567 Get Directions Write a Review

NPPES record last updated: June 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. James Kirk Sutton D.o. NPPES

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

DR. JAMES KIRK SUTTON D.O. (NPI 1598029506) is an individual emergency medicine provider in Pontiac, Michigan, licensed in Michigan (5101019858) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Mclaren Lapeer Region, and is a graduate of Michigan State University College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1598029506

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JAMES KIRK SUTTONCredential: D.O.

Location Address50 N PERRY STPontiac, MI 48342-2217

Mailing Address36 Wimberly DrRochester Hills, MI 48306-3462

Phone(248) 338-5000

Fax(248) 338-5567

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2012

Enumeration DateJune 25, 2012

✔ NPI 1598029506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 5101019858

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

50 N PERRY ST, Pontiac, MI 48342

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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. James Kirk Sutton D.o. 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 ID941443451

PECOS Enrollment IDI20140902000071

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

132 services130 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

70 services70 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

46 services46 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

39 services39 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Mclaren Lapeer Region

Acute Care Hospitals · Lapeer, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230193

Location1375 N Main StLapeer, MI 48446 · Lapeer County

Emergency services Birthing friendly

Mclaren Caro Region

Critical Access Hospitals · Caro, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231329

Location401 N Hooper StCaro, MI 48723 · Tuscola County

Emergency services

Mclaren Thumb Region

Critical Access Hospitals · Bad Axe, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231340

Location1100 S Van Dyke RdBad Axe, MI 48413 · Huron County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48342 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 20

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

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