JOHN J SUTTON M.D.
NPI 1699067439
Internal Medicine in Austin, TX

Active since May 12, 2011PECOS Enrolled
3708 JEFFERSON ST, STE A, AUSTIN, TX 78731(512) 459-6503(512) 454-7453 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John J Sutton M.d. NPPES

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

JOHN J SUTTON M.D. (NPI 1699067439) is an individual internal medicine provider in Austin, Texas, licensed in Texas (N9312) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699067439
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN J SUTTONCredential: M.D.
Location Address3708 JEFFERSON ST, STE AAustin, TX 78731-6206
Mailing Address3708 Jefferson St, Ste AAustin, TX 78731-6206 · (512) 459-6503 · Fax (512) 454-7453
Fax(512) 454-7453
Sole ProprietorNo
Enumeration DateMay 12, 2011
Last NPPES UpdateJuly 22, 2015
✔ NPI 1699067439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N9312
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3708 JEFFERSON ST, Austin, TX 78731

Other Identifiers 6

Medicare PIN363038YKXVTX
Medicare PIN363038YKXYTX
Medicare PIN363038YLP2TX
OtherTXB155824Wellmed Networks Inc
OtherTXB153713Wellmed Medical Group Pa
Medicare PIN363038YLP1TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John J Sutton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show John Sutton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
Cardiovascular Disease
7622 LOUIS PASTEUR, SUITE 100
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 233 clinicians in this Medicare group
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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 8

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

Hospitalist
3708 JEFFERSON ST, STE A
AUSTIN, TX 78731
Physician Assistant
3708 JEFFERSON ST, STE A
AUSTIN, TX 78731
Hospitalist
3708 JEFFERSON ST, STE A
AUSTIN, TX 78731
Family Medicine
3708 JEFFERSON ST, SUITE A
AUSTIN, TX 78731
Nurse Practitioner
3708 JEFFERSON ST, STE A
AUSTIN, TX 78731
Family Medicine
3708 JEFFERSON ST, STE A
AUSTIN, TX 78731
Internal Medicine
3708 JEFFERSON ST, STE A
AUSTIN, TX 78731
Family Medicine
3708 JEFFERSON ST, STE A
AUSTIN, TX 78731

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 John Sutton's NPI number?

The NPI number for John Sutton is 1699067439. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is John Sutton located?

John Sutton practices at 3708 Jefferson St Ste A, Austin, TX 78731. The listed phone number is (512) 459-6503.

What is John Sutton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Sutton enrolled in Medicare?

Yes. John Sutton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Sutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Sutton reassigns Medicare benefits to 3 organizations: Hni Medical Services (Austin, TX), Wellmed Networks, Inc. (San Antonio, TX) and Lonestar Hospital Medicine Associates, PA (Mansfield, TX). 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 John Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Sutton accept?

Health plans from Blue Cross and Blue Shield of Texas list John 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 John Sutton was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.