DR. ERNEST SUTTON II M.D.
NPI 1609130327
Emergency Medicine in Chicago, IL

Q: What is Ernest Sutton's NPI number?

The NPI number for Ernest Sutton is 1609130327. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Q: What is Ernest 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 Ernest Sutton was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 27, 2012PECOS EnrolledAccepts Medicare Assignment

5841 S MARYLAND AVE, ROOM J-141, CHICAGO, IL 60637(773) 702-9500 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ernest Sutton Ii M.d. NPPES

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

DR. ERNEST SUTTON II M.D. (NPI 1609130327) is an individual emergency medicine provider in Chicago, Illinois, licensed in Virginia (0101273732) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2012).

NPPES Registry Identity

NPI1609130327

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ERNEST SUTTON IICredential: M.D.

Location Address5841 S MARYLAND AVE, ROOM J-141Chicago, IL 60637-1447

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(773) 702-9500

Sole ProprietorYes

Medical School CMSMichigan State University College Of Human MedicineGraduated 2012

Enumeration DateJune 27, 2012

Last NPPES UpdateJanuary 21, 2022

NPPES CertifiedJanuary 21, 2022

✔ NPI 1609130327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in VA · 0101273732✔ Licensed in IL · 125-062179

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.

5841 S MARYLAND AVE, Chicago, IL 60637

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc, Oscar 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. Ernest Sutton Ii 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 ID749599884

PECOS Enrollment IDI20190924003915, I20220128000119

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 3

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.

92 services91 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.

44 services37 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.

43 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Unc Rockingham

Acute Care Hospitals · Eden, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340060

Location117 E Kings HighwayEden, NC 27288 · Rockingham County

Emergency services Birthing friendly

Lewisgale Hospital Montgomery

Acute Care Hospitals · Blacksburg, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490110

Location3700 South Main StreetBlacksburg, VA 24060 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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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