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MARK SUTTON DO
NPI 1720574056
Psychiatry & Neurology - Psychiatry in Buffalo, NY

Active since July 10, 2018PECOS Enrolled
90.03/100
CMS Quality Rating
ERIE COUNTY MEDICAL CENTER DEPARTMENT OF PSYCHIATRY, 462 GRIDER ST, BUFFALO, NY 14215(716) 898-1676 Get Directions Write a Review

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

Record update history: Jul 21, 2022, Jun 10, 2022, Jul 10, 2018 (3 updates tracked since 2018).

About Mark Sutton Do NPPES

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

MARK SUTTON DO (NPI 1720574056) is an individual psychiatry provider in Buffalo, New York, licensed in New York (315874) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720574056
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARK SUTTONCredential: DO
Location AddressERIE COUNTY MEDICAL CENTER DEPARTMENT OF PSYCHIATRY, 462 GRIDER STBuffalo, NY 14215
Mailing Address103 S Ellicott StBuffalo, NY 14221-6922
Phone(716) 898-1676
Sole ProprietorYes
Enumeration DateJuly 10, 2018
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1720574056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 315874
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
ERIE COUNTY MEDICAL CENTER DEPARTMENT OF PSYCHIATRY, Buffalo, NY 14215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Sutton Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

Other Providers at the Same Location NPPES

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

VICTORIA LYNN BROOKS MD
Psychiatry & Neurology (Psychiatry)
ERIE COUNTY MEDICAL CENTER DEPARTMENT OF PSYCHIATRY, 462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3465

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 Mark Sutton's NPI number?

The NPI number for Mark Sutton is 1720574056. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Mark Sutton located?

Mark Sutton practices at Erie County Medical Center Department Of Psychiatry 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-1676.

What is Mark Sutton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Sutton enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Sutton was last updated on July 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.