Active NPI 1558771220 Individual Practitioner Male Practitioner

Dr. Christopher Charles Sutton , DO

Internal Medicine - Pulmonary Disease • O Fallon, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Sutton, DO is a certified Internal Medicine - Pulmonary Disease practicing in O Fallon, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Sutton delivers high-quality medical care to the local community at 3 SAINT ELIZABETH BLVD.

Dr. Sutton is affiliated with Hshs Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Saint Elizabeth Blvd

O Fallon, IL 622691281

Telephone 6186415803

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Pulmonary Disease in O Fallon, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs Matches City Avg

City Avg: 12.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

2 Specialists

Practicing in O Fallon, IL (631 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

84.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutton (12 Years) 12 Yrs

O Fallon Specialty Average (12.0 Years) 12.0 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	710	515	$43.00	$16.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	456	408	$251.00	$124.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	301	190	$355.00	$172.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	227	89	$202.00	$117.00
94726 Determination of lung volumes using plethysmography	137	136	$155.00	$11.48
94729 Test to examine how well the lungs exchange gases	137	136	$167.00	$8.59
94060 Test to measure expiratory airflow and volume changes before and after medication administration	132	131	$187.00	$9.88
94618 Test for exercise-induced lung stress	107	104	$98.00	$21.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$330.00	$163.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	59	$391.00	$170.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	45	$141.00	$77.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	60	60	$437.00	$209.85
31645 Aspiration of lung secretions from lung airways using an endoscope	33	33	$1032.00	$25.31
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	26	26	$1240.00	$42.45
31627 Computer-assisted image-guided navigation of lung airways using an endoscope	25	25	$2357.00	$96.00
31629 Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope	24	24	$1874.00	$119.55
31654 Examination of lung airways using an endoscope with imaging guidance and ultrasound	23	23	$270.88	$66.38
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$178.00	$85.70
31652 Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes	19	19	$1587.00	$142.70
31653 Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes	15	15	$1688.00	$192.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$267.00	$130.17
94070 Test to measure lung airway sensitivity	12	12	$179.00	$26.47

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	395	343	$227.08	$127.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	270	162	$312.07	$175.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	256	98	$199.83	$121.74
94729 Test to examine how well the lungs exchange gases	142	140	$141.85	$8.85
94726 Determination of lung volumes using plethysmography	140	138	$134.91	$11.83
94060 Test to measure expiratory airflow and volume changes before and after medication administration	137	135	$187.00	$10.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	83	$389.07	$177.36
94618 Test for exercise-induced lung stress	78	76	$75.00	$22.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$322.67	$163.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	54	54	$408.28	$219.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	30	$139.10	$80.92
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$153.43	$90.41
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	20	18	$1067.00	$10.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	11	$264.46	$133.69
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	13	13	$1240.00	$86.94
94070 Test to measure lung airway sensitivity	12	12	$150.33	$27.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$206.27	$113.55

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	364	313	$201.00	$128.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	271	98	$198.00	$104.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	232	150	$271.00	$181.85
94060 Test to measure expiratory airflow and volume changes before and after medication administration	125	121	$187.00	$10.51
94726 Determination of lung volumes using plethysmography	124	121	$118.00	$12.22
94729 Test to examine how well the lungs exchange gases	124	121	$120.00	$9.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	80	$387.00	$202.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	47	$138.00	$72.63
94618 Test for exercise-induced lung stress	72	68	$59.00	$22.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$313.00	$171.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$390.00	$226.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$203.00	$114.76
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$135.00	$87.36
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	11	11	$1067.00	$6.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	447	142	$198.00	$105.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	289	$201.00	$130.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	240	151	$271.00	$184.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	129	124	$387.00	$206.07
94729 Test to examine how well the lungs exchange gases	128	128	$120.00	$9.29
94060 Test to measure expiratory airflow and volume changes before and after medication administration	122	122	$187.00	$10.68
94726 Determination of lung volumes using plethysmography	121	121	$118.00	$12.43
94618 Test for exercise-induced lung stress	72	71	$59.00	$23.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$313.00	$170.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	26	$138.00	$73.95
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$135.00	$93.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$390.00	$222.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$203.00	$108.43
94070 Test to measure lung airway sensitivity	12	12	$136.00	$29.03

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	123	115	$201.00	$110.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	39	$197.73	$107.60
99213 Established patient office or other outpatient visit, typically 15 minutes	58	58	$135.00	$75.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	24	$137.09	$74.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$313.00	$168.48
94726 Determination of lung volumes using plethysmography	29	29	$118.00	$12.72
94060 Test to measure expiratory airflow and volume changes before and after medication administration	29	29	$187.00	$13.42
94729 Test to examine how well the lungs exchange gases	29	29	$120.00	$9.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$385.42	$209.54
94618 Test for exercise-induced lung stress	14	14	$59.00	$23.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$271.00	$136.75

Medical Specialties & State Licenses

CMS Verified: 2020-06-25

Internal Medicine - Pulmonary Disease Primary Specialty

NUCC Taxonomy Code: 207RP1001X

State License IL 036150939

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

3 Saint Elizabeth Blvd, O Fallon, IL 622691099

Phone: 6186415803

Practice Associates & Co-Workers

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

22 Associated Practitioners

Angela Croessman-Marshall , AGNP-C

Nurse Practitioner - Adult Health

NPI 1023994274

Adult-Gerontology Nurse Practitioner (Certified)

Dr. Roula Al-Dahhak , MD

Psychiatry & Neurology - Neurology

NPI 1033116165

Doctor of Medicine (M.D.)

Dr. Beneranda Ford-Glanton , MD

Urology

NPI 1124229901

Doctor of Medicine (M.D.)

Lawrence Barnes , PA-C

Physician Assistant - Medical

NPI 1184685174

Physician Assistant (Certified)

Dr. Zachary Berg , MD

Internal Medicine - Pulmonary Disease

NPI 1255741278

Doctor of Medicine (M.D.)

Elayna Temares , FNP-BC

Nurse Practitioner

NPI 1255848214

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location June 25, 2020

Registered at 3 SAINT ELIZABETH BLVD, O FALLON, IL 622691281 (Tel: 6186415803)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2020

Internal Medicine (License #036150939 in IL)

📍

Updated Business Mailing Address March 09, 2020

Registered at 3 SAINT ELIZABETH BLVD, O FALLON, IL 622691281 (Tel: 6186415803)

✅

NPI Profile Active May 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 05, 2014

Registered at 1402 S GRAND BLVD, FDT 14TH FLOOR, SAINT LOUIS, MO 631041004 (Tel: 8165825972)

📍

Updated Business Mailing Address May 05, 2014

Registered at 5231 DELOR ST, SAINT LOUIS, MO 631092903 (Tel: 8165825972)

👤

Provider Name / Credentials Updated May 05, 2014

Recorded as CHRISTOPHER SUTTON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2014

Student in an Organized Health Care Education/Training Program (License #T056002007 in MO)

🟢

Initial NPI Registration & Enumeration May 05, 2014

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: 1558771220

Entity Type:

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

Enumeration Date: May 05, 2014

Last Update: June 25, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3 Saint Elizabeth Blvd

O Fallon, IL 622691281

Phone: 6186415803

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.