DOUGLAS CRAIG SUTTON MD
NPI 1992790513
Orthopaedic Surgery in Huntingdon Valley, PA

Q: What is Douglas Sutton's NPI number?

The NPI number for Douglas Sutton is 1992790513. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Douglas Sutton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Sutton was last updated on August 20, 2012. 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.

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment

727 WELSH RD, SUITE 103, HUNTINGDON VALLEY, PA 19006(215) 947-7550 Get Directions Write a Review

NPPES record last updated: August 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Douglas Craig Sutton Md NPPES

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

DOUGLAS CRAIG SUTTON MD (NPI 1992790513) is an individual orthopaedic surgery provider in Huntingdon Valley, Pennsylvania, licensed in Pennsylvania (MD045534L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Lower Bucks Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1989).

NPPES Registry Identity

NPI1992790513

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDOUGLAS CRAIG SUTTONCredential: MD

Location Address727 WELSH RD, SUITE 103Huntingdon Valley, PA 19006-6357

Mailing Address727 Welsh Rd, Suite 103Huntingdon Valley, PA 19006-6357 · (215) 947-7550

Phone(215) 947-7550

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1989

Enumeration DateSeptember 20, 2005

Last NPPES UpdateAugust 20, 2012

✔ NPI 1992790513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in PA · MD045534L

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

727 WELSH RD, Huntingdon Valley, PA 19006

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Other Identifiers 2

Medicare UPING18461

Medicare ID-Type Unspecified783171

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Douglas Craig 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 ID1658410071

PECOS Enrollment IDI20091124000655

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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,009 services103 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

377 services242 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

194 services187 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

124 services85 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

82 services82 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

59 services35 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.

59 services58 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

55 services53 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services19 patients

X-ray lower and sacral spine, minimum of 6 views 72114

An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.

12 services12 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

11 services11 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Lower Bucks Hospital

Acute Care Hospitals · Bristol, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390070

Location501 Bath RoadBristol, PA 19007 · Bucks County

Emergency services

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number390097

Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County

Emergency services Birthing friendly

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390115

Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County

Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390258

LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19006 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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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.

COMPREHENSIVE ARTHRITIS CARE CONSULTANTS, LLC

Internal Medicine (Rheumatology)

727 WELSH RD, SUITE 201
HUNTINGDON VALLEY, PA 19006

Montgomery County (215) 985-2414

JEAN ANN LICHSTEIN LCSW

Counselor (Mental Health)

727 WELSH RD, SUITE 202
HUNTINGDON VALLEY, PA 19006

Montgomery County (215) 914-2119

MARY COLE-CERRONE LCSW

Social Worker (Clinical)

727 WELSH RD, SUITE 202
HUNTINGDON VALLEY, PA 19006

Montgomery County (215) 914-2119

MELISSA RIVERA PA-C

Physician Assistant (Medical)

727 WELSH RD, SUITE 103
HUNTINGDON VALLEY, PA 19006

Montgomery County (215) 947-7550

LEONARD A. BRUNO MD/GENE Z SALKIND MD PC

Neurological Surgery

727 WELSH RD, SUITE 108
HUNTINGDON VALLEY, PA 19006

Montgomery County (215) 914-2320

MARCIA GUTOWICZ

Surgery

727 WELSH RD, SUITE 203
HUNTINGDON VALLEY, PA 19006

Montgomery County (215) 947-0153

AMY WALLWORK LMFT

Marriage & Family Therapist

727 WELSH RD, 202
HUNTINGDON VALLEY, PA 19006

Montgomery County (215) 914-2119

DR. TERESA N TOBIN DPM

Podiatrist

727 WELSH RD, SUITE 203
HUNTINGDON VALLEY, PA 19006

Montgomery County (215) 938-7725

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 Douglas Sutton's NPI number?

The NPI number for Douglas Sutton is 1992790513. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Douglas Sutton located?

Douglas Sutton practices at 727 Welsh Rd Suite 103, Huntingdon Valley, PA 19006. The listed phone number is (215) 947-7550.

What is Douglas Sutton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Douglas Sutton enrolled in Medicare?

Yes. Douglas 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 Douglas Sutton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Douglas 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 Douglas Sutton affiliated with any hospitals?

According to CMS data, Douglas Sutton is affiliated with Lower Bucks Hospital, Holy Redeemer Hospital And Medical Center, Jefferson Health- Northeast and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Sutton was last updated on August 20, 2012. 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.