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DR. THOMAS J SUTTON MD
NPI 1851526768
Pediatrics in Raleigh, NC

Active since May 20, 2009PECOS Enrolled
2406 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607(919) 786-5001(919) 786-5051 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas J Sutton Md NPPES

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

DR. THOMAS J SUTTON MD (NPI 1851526768) is an individual pediatrics provider in Raleigh, North Carolina, licensed in North Carolina (2012-00389) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851526768
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. THOMAS J SUTTONCredential: MD
Location Address2406 BLUE RIDGE RD, SUITE 100Raleigh, NC 27607-6678
Mailing Address2406 Blue Ridge Rd, Suite 100Raleigh, NC 27607-6678 · (919) 786-5001 · Fax (919) 786-5051
Phone(919) 786-5001
Fax(919) 786-5051
Sole ProprietorNo
Enumeration DateMay 20, 2009
Last NPPES UpdateMarch 30, 2012
✔ NPI 1851526768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2012-00389
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2406 BLUE RIDGE RD, Raleigh, NC 27607
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Other Identifiers 1

Other2012-00389NC · Nc License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Thomas J 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

TRIANGLE EYE PHYSICIANS, P.A.
Specialist
2406 BLUE RIDGE RD, SUITE 280
RALEIGH, NC 27607
Wake County (919) 256-2500
DR. BRIDGET MCNAMARA DEGELE M.D.
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
RALEIGH DURHAM MEDICAL GROUP, PA
Chiropractor
2406 BLUE RIDGE RD, STE. 170
RALEIGH, NC 27607
Wake County (919) 539-3796
DR. JULIE TRAINER TIFFANY M.D.
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
AMANDA L PADRO MS
Genetic Counselor, MS
2406 BLUE RIDGE RD, SUITE 200
RALEIGH, NC 27607
Wake County (919) 783-4299
TAIS BAIG M.D.
Family Medicine
2406 BLUE RIDGE RD
RALEIGH, NC 27607
Wake County (919) 789-4322
LANA S KUENZI FNP
Nurse Practitioner
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
DR. MATTHEW DANIEL PEPPER M.D.
Pediatrics
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001

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 Thomas Sutton's NPI number?

The NPI number for Thomas Sutton is 1851526768. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Thomas Sutton located?

Thomas Sutton practices at 2406 Blue Ridge Rd Suite 100, Raleigh, NC 27607. The listed phone number is (919) 786-5001.

What is Thomas Sutton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Sutton enrolled in Medicare?

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

What insurance does Thomas Sutton accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Thomas 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 Thomas Sutton was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.