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NATHAN SUTTON MD
NPI 1891107900
Family Medicine in Houma, LA

Active since May 22, 2014PECOS EnrolledAccepts Medicare Assignment
8166 MAIN ST, HOUMA, LA 70360(985) 873-4751(985) 873-3789 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathan Sutton Md NPPES

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

NATHAN SUTTON MD (NPI 1891107900) is an individual family medicine provider in Houma, Louisiana, licensed in Louisiana (304987) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Terrebonne General Medical Center - Parish, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2014).

NPPES Registry Identity

NPI1891107900
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHAN SUTTONCredential: MD
Location Address8166 MAIN STHouma, LA 70360-3404
Mailing AddressPo Box 6014Houma, LA 70361-6014 · Fax (985) 873-3789
Phone(985) 873-4751
Fax(985) 873-3789
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2014
Enumeration DateMay 22, 2014
Last NPPES UpdateJune 24, 2019
✔ NPI 1891107900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 304987
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8166 MAIN ST, Houma, LA 70360
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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

Nathan Sutton Md 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 ID1355639162
PECOS Enrollment IDI20170727001723
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 4

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.

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.
447 services215 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
116 services110 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
82 services79 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.
36 services29 patients

Hospital Affiliations CMS Care Compare

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

Terrebonne General Medical Center - Parish

Acute Care Hospitals · Houma, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190008
Location8166 Main StreetHouma, LA 70360 · Terrebonne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70360 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier61 claims69 services$15.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier58 claims58 services$83.34 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier25 claims25 services$34.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HOUMA EMERGENCY MEDICINE ASSOCIATES LLC
Emergency Medicine
8166 MAIN ST
HOUMA, LA 70360
Terrebonne Parish (800) 456-9121
PHYSICIAN PRACTICE PARTNERS
Family Medicine
8166 MAIN ST
HOUMA, LA 70360
Terrebonne Parish (985) 873-4141
MR. RYAN MICHAEL COYNE CRNA
Nurse Anesthetist, Certified Registered
8166 MAIN ST
HOUMA, LA 70360
Terrebonne Parish (985) 850-6137
MR. MELVIN WALLIS JR. ATC
Specialist/Technologist (Athletic Trainer)
8166 MAIN ST
HOUMA, LA 70360
Terrebonne Parish (985) 873-4141
MR. MICHAEL JOHNSON JR. CRNA
Nurse Anesthetist, Certified Registered
8166 MAIN ST
HOUMA, LA 70360
Terrebonne Parish (985) 873-4141
MICHAEL E ISABELLE MD APMC
Emergency Medicine
8166 MAIN ST
HOUMA, LA 70360
Terrebonne Parish (800) 456-9121
DR. RANDALL KENNETH LILLICH MD
Emergency Medicine
8166 MAIN ST
HOUMA, LA 70360
Terrebonne Parish (800) 456-9121
DR. JAY C ALEXIUS MD
Emergency Medicine
8166 MAIN ST
HOUMA, LA 70360
Terrebonne Parish (800) 456-9121

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 Nathan Sutton's NPI number?

The NPI number for Nathan Sutton is 1891107900. It was assigned to this individual provider in the NPPES registry on May 22, 2014.

Where is Nathan Sutton located?

Nathan Sutton practices at 8166 Main St, Houma, LA 70360. The listed phone number is (985) 873-4751.

What is Nathan Sutton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nathan Sutton enrolled in Medicare?

Yes. Nathan 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 Nathan Sutton accept?

Health plans from HMO Louisiana list Nathan 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 Nathan Sutton affiliated with any hospitals?

According to CMS data, Nathan Sutton is affiliated with Terrebonne General Medical Center - Parish.

When was this NPI record last updated?

The NPPES record for Nathan Sutton was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.