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Deactivated NPI 1376561605 Deactivated / Inactive NPI Male Practitioner

Jon Christopher Sutton , PA-C

Physician Assistant • Maple Grove, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jon Sutton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date June 10, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Jon Sutton, PA-C was a registered Physician Assistant practicing in Maple Grove, MN. Throughout an active medical career spanning 16 years, Jon Sutton provided care at the practice location at 9600 UPLAND LN N until profile deactivation on 2022-06-10.

Historical Medicare Part B clinical services included established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

9600 Upland Ln N
Suite 160

Maple Grove, MN 553694494

Telephone 7632018191
Fax 7632018192
Associated Practice Facility / Clinic
🏢 Pdg, P.a. Facility NPI 1487712915

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
63 Specialists

Practicing in Maple Grove, MN (4026 Statewide)

Telehealth Adoption Rate
38.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.8% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
332 112 $201.61 $62.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
171 86 $292.45 $90.67
80307 Testing for presence of drug, by chemistry analyzers
119 75 $395.00 $61.64
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
42 33 $483.00 $155.99
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
36 30 $724.50 $197.42
J1885 Injection, ketorolac tromethamine, per 15 mg
35 14 $10.00 $0.54
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
33 29 $241.50 $112.76
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes
30 30 $100.00 $30.42
G0444 Annual depression screening, 5 to 15 minutes
29 29 $60.00 $15.56
96127 Assessment of emotional or behavioral problems
23 22 $60.00 $4.88
G0442 Annual alcohol misuse screening, 5 to 15 minutes
22 22 $100.00 $15.56
J1030 Injection, methylprednisolone acetate, 40 mg
19 13 $10.00 $6.12
20610 Aspiration and/or injection of fluid from large joint
17 11 $307.35 $58.15

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9843

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Christy Dauner , OT

Occupational Therapist

NPI 1053324632

Occupational Therapist

Mark Narveson , OT

Occupational Therapist

NPI 1073626123

Occupational Therapist

Heather Elder , OTR, L

Occupational Therapist

NPI 1093203275

Occupational Therapist Registered, L

Elizabeth Geiger , OTR, L

Occupational Therapist - Pediatrics

NPI 1093254559

Occupational Therapist Registered, L

Dr. Ronald Boeding , MD

Anesthesiology - Pain Medicine

NPI 1104093152

Doctor of Medicine (M.D.)

Jason Schultz

Occupational Therapist

NPI 1144260720

Career & Practice History Timeline

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

9 Historical Events
⚠️
NPI Profile Deactivated June 10, 2022

Record deactivated on June 10, 2022

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Updated Practice Location June 13, 2018

Registered at 9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369 (Tel: 7632018191)

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Updated Business Mailing Address June 13, 2018

Registered at 9645 GROVE CIR N STE 200, MAPLE GROVE, MN 553694466 (Tel: 7632018191)

NPI Profile Active April 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2016

Registered at 9600 UPLAND LN N, SUITE 160, MAPLE GROVE, MN 553694494 (Tel: 7632018191)

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Updated Business Mailing Address April 11, 2016

Registered at 9600 UPLAND LN N, SUITE 160, MAPLE GROVE, MN 553694494 (Tel: 7632018191)

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Provider Name / Credentials Updated April 11, 2016

Recorded as JON SUTTON, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2016

Physician Assistant (License #9843 in MN)

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Initial NPI Registration & Enumeration July 17, 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: 1376561605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: April 11, 2016
Deactivation Date: June 10, 2022

Mailing Address

9600 Upland Ln N, Suite 160

Maple Grove, MN 553694494

Phone: 7632018191

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.