RICHARD ANDREW SUTTON D.O.
NPI 1760879639
Internal Medicine - Gastroenterology in Overland Park, KS

Active since April 18, 2015PECOS EnrolledAccepts Medicare Assignment
10116 W 105TH ST, OVERLAND PARK, KS 66212(913) 541-0510(913) 541-1852 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Andrew Sutton D.o. NPPES

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

RICHARD ANDREW SUTTON D.O. (NPI 1760879639) is an individual gastroenterology provider in Overland Park, Kansas, licensed in Kansas (05-44983) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Rocky Vista University College Of Osteopathic Med (2015).

NPPES Registry Identity

NPI1760879639
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRICHARD ANDREW SUTTONCredential: D.O.
Location Address10116 W 105TH STOverland Park, KS 66212-5746
Mailing Address10116 W 105th StOverland Park, KS 66212-5746 · (913) 541-0510 · Fax (913) 541-1852
Fax(913) 541-1852
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2015
Enumeration DateApril 18, 2015
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
NPI 1760879639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in KS · 05-44983 Licensed in MO · 2022038328
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 05-44983 (KS), 2022038328 (MO)
10116 W 105TH ST, Overland Park, KS 66212

Accepted 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

Richard Andrew 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 ID9830447853
PECOS Enrollment IDI20210813000397, I20221005003516
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 17

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
143 services142 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
83 services51 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
81 services77 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.
56 services51 patients
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.
51 services45 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
38 services34 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66212 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%43 patients
Colorectal Cancer Screening
82%262 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
94%515 patients4/55-star benchmark: 100%
e-Prescribing
99%179 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
70%117 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
87%428 patients4/55-star benchmark: 98%
Provide Patients Electronic Access to Their Health Information
55%309 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 125 patients
Patients totalRate: 2% · 125 patients
2%125 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Gastroenterology)
10116 W 105TH ST
OVERLAND PARK, KS 66212
Nurse Practitioner (Family)
10116 W 105TH ST
OVERLAND PARK, KS 66212
Physician Assistant
10116 W 105TH ST
OVERLAND PARK, KS 66212
Physician Assistant
10116 W 105TH ST
OVERLAND PARK, KS 66212
Internal Medicine (Gastroenterology)
10116 W 105TH ST
OVERLAND PARK, KS 66212
Nurse Practitioner
10116 W 105TH ST
OVERLAND PARK, KS 66212
Internal Medicine (Gastroenterology)
10116 W 105TH ST
OVERLAND PARK, KS 66212
Internal Medicine (Gastroenterology)
10116 W 105TH ST
OVERLAND PARK, KS 66212

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 Richard Sutton's NPI number?

The NPI number for Richard Sutton is 1760879639. It was assigned to this individual provider in the NPPES registry on April 18, 2015.

Where is Richard Sutton located?

Richard Sutton practices at 10116 W 105th St, Overland Park, KS 66212. The listed phone number is (913) 541-0510.

What is Richard Sutton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Richard Sutton enrolled in Medicare?

Yes. Richard Sutton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Sutton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Richard 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.

Is Richard Sutton affiliated with any hospitals?

According to CMS data, Richard Sutton is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Richard Sutton was last updated on January 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.