JEFFREY MICHAEL SUTTON
NPI 1730407800
Surgery - Surgical Oncology in Charleston, SC

Q: What is Jeffrey Sutton's NPI number?

The NPI number for Jeffrey Sutton is 1730407800. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Q: What is Jeffrey Sutton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Sutton was last updated on November 1, 2021. 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 May 13, 2010PECOS EnrolledAccepts Medicare Assignment

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 1, 2021, Sep 4, 2019, Jun 15, 2017 (3 updates tracked since 2017).

On this page

About Jeffrey Michael Sutton NPPES

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

JEFFREY MICHAEL SUTTON (NPI 1730407800) is an individual surgical oncology provider in Charleston, South Carolina, licensed in South Carolina (86792) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2010).

NPPES Registry Identity

NPI1730407800

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameJEFFREY MICHAEL SUTTON

Location Address171 ASHLEY AVECharleston, SC 29425-8009

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-1414

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2010

Enumeration DateMay 13, 2010

Last NPPES UpdateNovember 1, 20213 updates tracked since enumeration

NPPES CertifiedNovember 1, 2021

✔ NPI 1730407800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

Licenses✔ Licensed in SC · 86792✔ Licensed in OH · 35.128908

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

171 ASHLEY AVE, Charleston, SC 29425

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Jeffrey Michael Sutton 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 ID7911146121

PECOS Enrollment IDI20211027003387

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services33 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 patients

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.

18 services11 patients

Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606

This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.

14 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 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.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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

$163.84 typical visit price

range $53.57 – $163.84

Typical copayment $40.96 (range $13.39 – $40.96)

Most-billed visit code 99205

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

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.

CAROLYN REED WORD M.D.

Allergy & Immunology