JAMES R. SUTTON P.A.-C
NPI 1992702609
Physician Assistant in Montgomery, OH

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
10506 MONTGOMERY RD STE 200A, MONTGOMERY, OH 45242(513) 246-2343(513) 985-2905 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2016, Sep 13, 2016 (2 updates tracked since 2016).

About James R. Sutton P.a.-c NPPES

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

JAMES R. SUTTON P.A.-C (NPI 1992702609) is an individual physician assistant in Montgomery, Ohio, licensed in Ohio (50-00-2237) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992702609
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES R. SUTTONCredential: P.A.-C
Location Address10506 MONTGOMERY RD STE 200AMontgomery, OH 45242-4400
Mailing Address10506 Montgomery Rd Ste 200aMontgomery, OH 45242-4400 · (513) 246-2343 · Fax (513) 985-2905
Fax(513) 985-2905
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 7, 2005
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
NPI 1992702609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50-00-2237
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10506 MONTGOMERY RD STE 200A, Montgomery, OH 45242

Secondary Practice Locations 2

Location 11 Wyoming St, ED DEptDayton, OH 45409-2722 · Phone (937) 429-2160 · Fax (937) 426-5663
Location 22960 Mack Rd Ste 200Fairfield, OH 45014-5300 · Phone (513) 421-3494 · Fax (513) 867-3241

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

James R. Sutton P.a.-c 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 ID1456316421
PECOS Enrollment IDI20041201000703
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.

Hospital Affiliations CMS Care Compare

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 4

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

Nurse Practitioner (Acute Care)
10506 MONTGOMERY RD STE 200A
MONTGOMERY, OH 45242
Physician Assistant
10506 MONTGOMERY RD STE 200A
MONTGOMERY, OH 45242
Registered Nurse (Ambulatory Care)
10506 MONTGOMERY RD STE 200A
MONTGOMERY, OH 45242
Physician Assistant
10506 MONTGOMERY RD STE 200A
MONTGOMERY, OH 45242

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 James Sutton's NPI number?

The NPI number for James Sutton is 1992702609. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is James Sutton located?

James Sutton practices at 10506 Montgomery Rd Ste 200A, Montgomery, OH 45242. The listed phone number is (513) 246-2343.

What is James Sutton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Sutton enrolled in Medicare?

Yes. James 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 James Sutton accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and Oscar Health Insurance list James 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 James Sutton affiliated with any hospitals?

According to CMS data, James Sutton is affiliated with Mercy Health - Fairfield Hospital.

When was this NPI record last updated?

The NPPES record for James Sutton was last updated on August 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.