Active NPI 1528088051 Individual Practitioner Female Practitioner

Tori Renee Sutton , PA

Physician Assistant • Belleville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tori Sutton, PA is a certified Physician Assistant practicing in Belleville, IL. With approximately 24 years of clinical experience since completing medical education in 2002, Tori Sutton delivers high-quality medical care to the local community at 4500 MEMORIAL DR.

Tori Sutton is affiliated with Fairview Heights Medical Group Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 Memorial Dr

Belleville, IL 622265360

Telephone 6182576220

Associated Practice Facility / Clinic

🏢 Premier Internal Medicine Llc Facility NPI 1689651184

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Belleville, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +9.9 yrs vs City Avg

City Avg: 14.1 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

42 Specialists

Practicing in Belleville, IL (4958 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutton (24 Years) 24 Yrs

Belleville Specialty Average (14.1 Years) 14.1 Yrs

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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	77	$150.00	$66.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	74	$276.00	$110.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	45	$154.08	$66.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$284.32	$110.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	21	$94.88	$42.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	31	$160.00	$59.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	23	$110.00	$32.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$300.00	$112.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	40	$157.89	$61.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	36	$148.00	$61.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	131	41	$1587.72	$191.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	209	124	$451.00	$63.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	115	68	$650.00	$90.54
99239 Hospital discharge day management, more than 30 minutes	107	104	$670.00	$92.65
99217 Hospital observation care on day of discharge	29	29	$453.00	$63.06
99225 Subsequent observation care, typically 25 minutes per day	24	22	$453.00	$63.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$1267.00	$176.54
99226 Subsequent observation care, typically 35 minutes per day	12	12	$657.00	$90.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	323	172	$451.00	$62.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	112	73	$650.00	$90.53
99239 Hospital discharge day management, more than 30 minutes	86	84	$670.00	$92.27
99238 Hospital discharge day management, 30 minutes or less	75	74	$455.00	$62.21
99217 Hospital observation care on day of discharge	30	30	$453.00	$62.75
99225 Subsequent observation care, typically 25 minutes per day	28	24	$453.00	$62.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$1267.00	$176.23

Medical Specialties & State Licenses

CMS Verified: 2023-06-09

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2003004296

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.

Hospital & Practice Group Affiliations

Fairview Heights Medical Group Sc

1404 Cross St, Shiloh, IL 622692988

Phone: 6186073700

Fairview Heights Medical Group Sc

1418 Cross St, Shiloh, IL 622692988

Phone: 6186073900

Fairview Heights Medical Group Sc

1 Memorial Dr, Alton, IL 620026722

Phone: 6184637240

Fairview Heights Medical Group Sc

1404 Cross St, Shiloh, IL 622692988

Phone: 6186073055

Fairview Heights Medical Group Sc

4500 Memorial Dr, Belleville, IL 622265360

Phone: 6182576220

Secondary Practice Locations

4921 Parkview Pl

Saint Louis, MO 631101032

Phone: 3147471369

1055 Bowles Ave Ste 200

Fenton, MO 630262308

Phone: 6364963930

Practice Associates & Co-Workers

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

40 Associated Practitioners

Lito Rufin , NP

Nurse Practitioner

NPI 1003431560

Nurse Practitioner

Kim Wrigley , PA

Physician Assistant

NPI 1013070440

Physician Assistant

Dr. Vibhu Dhawan , MD

Internal Medicine

NPI 1033315965

Doctor of Medicine (M.D.)

Dr. Bushra Shaukat , MD

Hospitalist

NPI 1033486758

Doctor of Medicine (M.D.)

Dr. Anand Patel , MD

Internal Medicine - Gastroenterology

NPI 1043503972

Doctor of Medicine (M.D.)

Dr. Michelle Burk , DO

Internal Medicine

NPI 1093817355

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location June 09, 2023

Registered at 4500 MEMORIAL DR, BELLEVILLE, IL 622265360 (Tel: 6182576220)

📍

Updated Business Mailing Address June 09, 2023

Registered at 4500 MEMORIAL DR, BELLEVILLE, IL 622265360 (Tel: 6182576220)

📍

Updated Business Mailing Address October 27, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631952551

📍

Updated Practice Location December 17, 2019

Registered at 1055 BOWLES AVE STE 200, FENTON, MO 630262308 (Tel: 6364963930)

📍

Updated Business Mailing Address December 17, 2019

Registered at 3221 MCKELVEY RD STE 301, BRIDGETON, MO 630442551

✅

NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2015

Registered at 4921 PARKVIEW PL, SAINT LOUIS, MO 631101032 (Tel: 3147471369)

📍

Updated Business Mailing Address October 22, 2015

Registered at 660 S EUCLID AVE, C B 8109, SAINT LOUIS, MO 631101010 (Tel: 3147471369)

👤

Provider Name / Credentials Updated October 22, 2015

Recorded as TORI SUTTON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Physician Assistant (License #2003004296 in MO)

🟢

Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528088051

Entity Type:

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

Enumeration Date: July 20, 2006

Last Update: June 09, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 Memorial Dr

Belleville, IL 622265360

Phone: 6182576220

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.