Active NPI 1700485794 Individual Practitioner Female Practitioner

Heather Sutton , APRN

Nurse Practitioner • Paducah, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Sutton, APRN is a certified Nurse Practitioner practicing in Paducah, KY. With approximately 6 years of clinical experience since completing medical education in 2020, Heather Sutton delivers high-quality medical care to the local community at 2501 KENTUCKY AVE.

Heather Sutton is affiliated with Baptist Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, removal of skin and tissue, 20.0 sq cm or less, initial hospital care with straightforward or low-level 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

2501 Kentucky Ave

Paducah, KY 420033813

Telephone 2705752303

Associated Practice Facility / Clinic

🏢 Radiology Group Of Paducah Psc Facility NPI 1295721454

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Paducah, KY

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs -3.2 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

46 Specialists

Practicing in Paducah, KY (1865 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutton (6 Years) 6 Yrs

Paducah Specialty Average (9.2 Years) 9.2 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
99221 Initial hospital inpatient care per day, typically 30 minutes	263	226	$192.00	$68.29
11042 Removal of skin and tissue, 20.0 sq cm or less	124	76	$129.00	$49.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	116	104	$259.00	$108.04
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	69	19	$57.00	$20.96
99213 Established patient office or other outpatient visit, typically 15 minutes	63	40	$129.00	$54.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	27	$137.00	$65.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	15	$281.00	$119.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$190.00	$80.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	13	$70.00	$29.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$379.00	$143.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	234	204	$192.00	$67.80
11042 Removal of skin and tissue, 20.0 sq cm or less	173	110	$129.00	$47.42
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	80	25	$57.00	$20.73
99213 Established patient office or other outpatient visit, typically 15 minutes	73	51	$129.00	$52.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	43	$137.00	$64.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	49	$259.00	$106.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	13	$199.00	$91.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$190.00	$79.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$70.00	$29.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	127	114	$193.37	$80.85
11042 Removal of skin and tissue, 20.0 sq cm or less	93	56	$145.03	$47.53
99213 Established patient office or other outpatient visit, typically 15 minutes	80	34	$109.06	$54.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	35	$199.71	$82.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	48	$261.66	$108.92
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	49	15	$61.84	$21.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	33	$137.92	$57.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	17	$153.08	$79.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	16	$75.00	$31.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	220	188	$194.00	$81.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	63	$200.00	$83.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	57	$262.00	$110.40
11042 Removal of skin and tissue, 20.0 sq cm or less	41	38	$150.00	$49.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	28	$139.00	$58.37
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$100.00	$55.18

Medical Specialties & State Licenses

CMS Verified: 2020-10-19

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3015058

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Baptist Health Medical Group Inc

2603 Kentucky Ave, Paducah, KY 420033815

Phone: 2704435564

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Austin Mccuiston , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003221607

Doctor of Medicine (M.D.)

Dr. Chasity Mcintyre , PharmD

Pharmacist

NPI 1003789090

Doctor of Pharmacy (Pharm.D.)

Leslie Ferguson , ARNP

Nurse Practitioner

NPI 1013227024

Advanced Registered Nurse Practitioner

Mackenzie Pierce

Nurse Practitioner

NPI 1013840222

Thu-Trang Cleo King , PA

Physician Assistant - Surgical

NPI 1023029931

Physician Assistant

Katie Riley

Nurse Practitioner

NPI 1023722907

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 20, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location October 20, 2020

Registered at 2501 KENTUCKY AVE, PADUCAH, KY 420033813 (Tel: 2705752303)

📍

Updated Business Mailing Address October 20, 2020

Registered at 2501 KENTUCKY AVE, PADUCAH, KY 420033813 (Tel: 2705752303)

👤

Provider Name / Credentials Updated October 20, 2020

Recorded as HEATHER SUTTON, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Nurse Practitioner (License #3015058 in KY)

🟢

Initial NPI Registration & Enumeration October 20, 2020

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: 1700485794

Entity Type:

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

Enumeration Date: October 20, 2020

Last Update: October 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2501 Kentucky Ave

Paducah, KY 420033813

Phone: 2705752303

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.