Active NPI 1043215635 Individual Practitioner Male Practitioner

Dr. James Thomas Sutton , MD

Surgery - Vascular Surgery • Ormond Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. James Sutton, MD is a registered healthcare professional specializing in Surgery - Vascular Surgery in Ormond Beach, FL. Practice services are available at 588 STERTHAUS DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, ultrasound of both sides of head and neck blood flow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

588 Sterthaus Dr

Ormond Beach, FL 321745128

Telephone 3866729503

Fax 3866720386

Associated Practice Facility / Clinic

🏢 Evolves Vascular Lab, Llc Facility NPI 1548699606

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Ormond Beach, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Ormond Beach, FL (412 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$390.00	$117.04
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$274.00	$74.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$416.00	$154.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	41	$390.00	$119.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$416.00	$155.85
93880 Ultrasound of both sides of head and neck blood flow	20	20	$570.70	$177.64
93925 Ultrasound of leg arteries or artery grafts	16	15	$701.75	$228.27
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	13	$357.29	$108.53
93926 Ultrasound of one leg arteries or artery grafts	14	14	$413.57	$120.03
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$569.17	$172.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	135	119	$400.14	$122.70
99213 Established patient office or other outpatient visit, typically 15 minutes	89	71	$274.00	$86.03
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	81	69	$295.02	$89.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	66	$390.00	$120.63
93970 Ultrasound study of arm or leg veins with compression and maneuvers	68	56	$451.81	$138.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$339.00	$107.13
93925 Ultrasound of leg arteries or artery grafts	38	33	$439.89	$134.17
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	32	21	$361.00	$110.71
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	30	15	$3803.00	$1044.49
93922 Ultrasound study of arm and leg arteries	25	21	$251.00	$73.80
93926 Ultrasound of one leg arteries or artery grafts	16	12	$382.00	$121.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$416.00	$158.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	112	$272.80	$86.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$337.43	$107.29
93880 Ultrasound of both sides of head and neck blood flow	85	81	$157.47	$49.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	56	$365.23	$123.22
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	55	54	$153.51	$48.42
93922 Ultrasound study of arm and leg arteries	43	37	$250.91	$78.37
93970 Ultrasound study of arm or leg veins with compression and maneuvers	34	33	$283.15	$89.32
93990 Ultrasound of dialysis access	28	18	$387.86	$122.04
36821 Relocation of arm vein with connection to arm artery, open procedure	24	24	$2131.00	$673.06
93926 Ultrasound of one leg arteries or artery grafts	20	18	$383.95	$120.75
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	18	11	$3383.17	$1043.65
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	16	12	$342.38	$108.29
93925 Ultrasound of leg arteries or artery grafts	16	16	$194.63	$61.47
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$228.00	$69.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	110	$325.49	$102.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$321.16	$101.64
93880 Ultrasound of both sides of head and neck blood flow	56	54	$156.00	$48.95
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	50	48	$131.62	$41.45
93922 Ultrasound study of arm and leg arteries	31	27	$181.58	$56.99
93970 Ultrasound study of arm or leg veins with compression and maneuvers	29	27	$235.28	$73.59
93990 Ultrasound of dialysis access	23	20	$329.65	$103.46
93926 Ultrasound of one leg arteries or artery grafts	19	14	$176.74	$55.37
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$225.00	$70.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$396.00	$156.24
36821 Relocation of arm vein with connection to arm artery, open procedure	15	15	$2166.00	$680.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$339.00	$138.03
49324 Insertion of abdominal cavity catheter using an endoscope	12	12	$1262.00	$331.44
93925 Ultrasound of leg arteries or artery grafts	11	11	$176.64	$55.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	107	$261.78	$102.05
99213 Established patient office or other outpatient visit, typically 15 minutes	70	54	$157.23	$69.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$310.15	$102.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$255.00	$155.39
93922 Ultrasound study of arm and leg arteries	27	26	$40.00	$12.37
93880 Ultrasound of both sides of head and neck blood flow	24	24	$125.00	$38.81
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	18	$190.32	$64.09
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	17	17	$124.00	$38.44
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$230.00	$71.63
36821 Relocation of arm vein with connection to arm artery, open procedure	13	13	$2365.31	$674.38
93926 Ultrasound of one leg arteries or artery grafts	11	11	$76.00	$23.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	102	$110.00	$64.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	57	$160.00	$95.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$175.00	$96.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$255.00	$147.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	37	$85.00	$38.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	233	189	$110.00	$66.11
93880 Ultrasound of both sides of head and neck blood flow	136	132	$400.00	$179.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$175.00	$98.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	73	$160.00	$97.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	67	$85.00	$39.39
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	78	77	$300.00	$168.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$255.00	$149.64
93922 Ultrasound study of arm and leg arteries	59	47	$200.00	$75.56
93926 Ultrasound of one leg arteries or artery grafts	53	42	$250.00	$121.53
93923 Complete ultrasound study of arm and leg arteries	46	45	$250.00	$111.87
93990 Ultrasound of dialysis access	31	26	$250.00	$122.95
76937 Ultrasonic guidance for blood vessel access	30	28	$75.00	$13.35
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	25	$310.00	$105.63
93970 Ultrasound study of arm or leg veins with compression and maneuvers	28	26	$499.00	$174.69
36821 Relocation of arm vein with connection to arm artery, open procedure	27	27	$2599.00	$640.40
35301 Removal of blood clot and portion of artery of neck	19	19	$4300.00	$1117.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$296.00	$126.00
36832 Revision of dialysis graft, open procedure	12	12	$2962.00	$723.46

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License FL ME0044108

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Upin

D57714

Commercial Insurance / Payer ID Bsbsfl

64518 (FL)

Commercial Insurance / Payer ID Fhcp

004179 (FL)

Commercial Insurance / Payer ID Medicare-Cms

GT215A

Commercial Insurance / Payer ID Rr Medicare Group

DT5266

Commercial Insurance / Payer ID Rr Medicare Individual

020007754

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. William Johnson , MD

Surgery - Vascular Surgery

NPI 1245226695

Doctor of Medicine (M.D.)

Dr. John Holt , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1932195385

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location August 05, 2019

Registered at 588 STERTHAUS DR, ORMOND BEACH, FL 321745128 (Tel: 3866729503)

📍

Updated Business Mailing Address August 05, 2019

Registered at 588 STERTHAUS DR, ORMOND BEACH, FL 321745128 (Tel: 3866729503)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1890 LPGA BLVD, STE 250, DAYTONA BEACH, FL 321177131 (Tel: 3862740260)

📍

Updated Business Mailing Address July 08, 2007

Registered at 357 JOHN ANDERSON DR, ORMOND BEACH, FL 321765707 (Tel: 3862740260)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES SUTTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #ME0044108 in FL)

🟢

Initial NPI Registration & Enumeration June 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1043215635

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 20, 2005

Last Update: August 05, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

588 Sterthaus Dr

Ormond Beach, FL 321745128

Phone: 3866729503

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.