DR. DAVID KRISTOFER SUTTON MD
NPI 1801002902
Ophthalmology in Whiteville, NC

Active since May 15, 2007PECOS Enrolled
100/100
CMS Quality Rating
810 SPIVEY RD, WHITEVILLE, NC 28472(910) 642-9850(910) 642-9852 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Kristofer Sutton Md NPPES

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

DR. DAVID KRISTOFER SUTTON MD (NPI 1801002902) is an individual ophthalmology provider in Whiteville, North Carolina, licensed in North Carolina (2011-00265) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801002902
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DAVID KRISTOFER SUTTONCredential: MD
Location Address810 SPIVEY RDWhiteville, NC 28472-8736
Mailing AddressPo Box 525Whiteville, NC 28472-0525 · (910) 642-9850 · Fax (910) 642-9852
Fax(910) 642-9852
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateMarch 20, 2013
NPI 1801002902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 2011-00265
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
810 SPIVEY RD, Whiteville, NC 28472

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 (PECOS)

Dr. David Kristofer Sutton Md 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.

Areas of Expertise CMS Part B claims 12

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.

Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
1,789 services337 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
660 services369 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.
657 services389 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
562 services354 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
516 services352 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
431 services221 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28472 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Cervical Cancer Screening
100%426 patients5/55-star benchmark: 98%
Diabetes: Eye Exam
99%502 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%4,865 patients4/55-star benchmark: 100%
e-Prescribing
97%811 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,134 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%1,366 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,650 patients
Patients screened: 100% · 1,650 patients
99%258 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%1,095 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,238 patients
Patients totalRate: 0% · 1,238 patients
0%1,238 patients5/55-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 3

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

Dentist
810 SPIVEY RD
WHITEVILLE, NC 28472
Ophthalmology
810 SPIVEY RD
WHITEVILLE, NC 28472
Ophthalmology
810 SPIVEY RD
WHITEVILLE, NC 28472

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 David Sutton's NPI number?

The NPI number for David Sutton is 1801002902. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is David Sutton located?

David Sutton practices at 810 Spivey Rd, Whiteville, NC 28472. The listed phone number is (910) 642-9850.

What is David Sutton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is David Sutton enrolled in Medicare?

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

What insurance does David Sutton accept?

Health plans from AmeriHealth Caritas Next and UnitedHealthcare list David 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 David Sutton was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.