Active NPI 1134126030 Individual Practitioner Male Practitioner

Dr. Vincent J Sutton , MD

Ophthalmology • Lincoln, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vincent Sutton, MD is a certified Ophthalmology practicing in Lincoln, NE. With approximately 50 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 1976, Dr. Sutton delivers high-quality medical care to the local community at 1710 S 70TH ST.

Dr. Sutton is affiliated with Eye Surgical Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, measurement of corneal curvature and depth of eye, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1710 S 70th St

Lincoln, NE 685061676

Telephone 4024849000

Fax 4024834223

Associated Practice Facility / Clinic

🏢 Lincoln Surgery Center Llc Facility NPI 1306849005

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lincoln, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +19.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 22.0 Yrs

Regional Practice Density

23 Specialists

Practicing in Lincoln, NE (125 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutton (50 Years) 50 Yrs

Lincoln Specialty Average (30.3 Years) 30.3 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
66984 Removal of cataract with insertion of lens	410	255	$2004.00	$408.86
92136 Measurement of corneal curvature and depth of eye	322	213	$156.57	$36.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	315	315	$390.00	$153.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	290	$290.05	$117.90
66821 Removal of recurring cataract in lens capsule using a laser	209	207	$1472.65	$280.12
76519 Ultrasound of eye for determination of lens power	205	129	$143.17	$46.51
66984 Removal of cataract with insertion of lens	170	113	$38.40	$7.38
66982 Complex removal of cataract with insertion of prosthetic lens	105	69	$2397.00	$576.98
92133 Imaging of optic nerve	71	69	$111.00	$31.47
92083 Exam of visual field with extended testing	60	60	$160.00	$58.08
92134 Imaging of retina	37	36	$111.00	$35.57
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$220.00	$83.62
66982 Complex removal of cataract with insertion of prosthetic lens	34	24	$15.00	$9.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$290.00	$101.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	691	417	$2004.00	$420.75
92136 Measurement of corneal curvature and depth of eye	488	312	$156.90	$37.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	469	469	$390.00	$155.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	378	358	$290.00	$119.91
76519 Ultrasound of eye for determination of lens power	341	218	$137.81	$47.46
66984 Removal of cataract with insertion of lens	225	141	$15.04	$7.50
66821 Removal of recurring cataract in lens capsule using a laser	197	197	$1343.24	$290.94
66982 Complex removal of cataract with insertion of prosthetic lens	134	97	$2397.00	$571.96
92083 Exam of visual field with extended testing	61	59	$154.36	$58.69
92133 Imaging of optic nerve	61	60	$111.00	$32.51
92134 Imaging of retina	54	51	$109.50	$36.44
66982 Complex removal of cataract with insertion of prosthetic lens	38	30	$15.00	$10.62
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$219.00	$84.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	624	378	$2004.00	$423.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	490	490	$390.00	$156.18
92136 Measurement of corneal curvature and depth of eye	478	327	$159.48	$39.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	374	$290.00	$121.01
76519 Ultrasound of eye for determination of lens power	329	204	$139.26	$48.20
66821 Removal of recurring cataract in lens capsule using a laser	225	223	$1227.56	$293.38
66984 Removal of cataract with insertion of lens	197	124	$15.30	$7.74
66982 Complex removal of cataract with insertion of prosthetic lens	167	113	$2397.00	$586.29
92133 Imaging of optic nerve	66	65	$111.00	$32.82
92083 Exam of visual field with extended testing	53	53	$143.00	$58.89
66982 Complex removal of cataract with insertion of prosthetic lens	44	31	$15.45	$9.93
92134 Imaging of retina	30	24	$111.00	$37.54
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$208.27	$85.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	792	481	$1981.40	$425.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	658	658	$339.32	$158.31
92136 Measurement of corneal curvature and depth of eye	613	420	$117.71	$42.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	431	410	$225.20	$122.62
76519 Ultrasound of eye for determination of lens power	377	232	$128.57	$50.79
66984 Removal of cataract with insertion of lens	364	238	$15.33	$7.32
66821 Removal of recurring cataract in lens capsule using a laser	243	241	$1024.86	$294.25
66982 Complex removal of cataract with insertion of prosthetic lens	159	112	$2397.00	$588.71
92133 Imaging of optic nerve	77	73	$110.61	$33.55
92083 Exam of visual field with extended testing	62	61	$141.45	$58.88
66982 Complex removal of cataract with insertion of prosthetic lens	61	44	$15.57	$10.02
92134 Imaging of retina	32	31	$111.00	$37.44
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$142.59	$86.51
92014 Established patient complete exam of visual system	18	18	$226.67	$121.17
92004 New patient complete exam of visual system	13	13	$282.23	$144.25
76514 Ultrasound scan of cornea to determine thickness	12	12	$35.00	$10.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	741	452	$1995.94	$438.19
92136 Measurement of corneal curvature and depth of eye	699	475	$121.23	$48.60
66984 Removal of cataract with insertion of lens	514	327	$21.06	$8.16
92004 New patient complete exam of visual system	438	438	$265.00	$144.61
92014 Established patient complete exam of visual system	408	396	$220.00	$120.94
66821 Removal of recurring cataract in lens capsule using a laser	190	189	$1034.21	$304.05
66982 Complex removal of cataract with insertion of prosthetic lens	134	96	$2397.00	$611.44
76519 Ultrasound of eye for determination of lens power	131	98	$112.14	$44.67
66982 Complex removal of cataract with insertion of prosthetic lens	91	63	$39.96	$9.65
92133 Imaging of optic nerve	78	74	$109.19	$33.63
92083 Exam of visual field with extended testing	71	71	$141.65	$59.57
92012 Established patient problem focused exam of visual system	57	53	$152.00	$84.55
92134 Imaging of retina	35	32	$111.00	$37.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$290.00	$153.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$190.00	$96.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	824	524	$2001.58	$513.09
92004 New patient complete exam of visual system	628	628	$265.00	$143.90
92136 Measurement of corneal curvature and depth of eye	599	417	$117.93	$51.68
66984 Removal of cataract with insertion of lens	575	372	$7.36	$7.35
92014 Established patient complete exam of visual system	558	538	$220.00	$120.31
76519 Ultrasound of eye for determination of lens power	418	312	$130.48	$51.16
66821 Removal of recurring cataract in lens capsule using a laser	230	230	$1000.31	$302.70
66982 Complex removal of cataract with insertion of prosthetic lens	180	122	$2394.82	$646.55
92012 Established patient problem focused exam of visual system	109	86	$152.00	$83.74
66982 Complex removal of cataract with insertion of prosthetic lens	109	78	$8.37	$8.36
92083 Exam of visual field with extended testing	108	106	$138.56	$58.77
92133 Imaging of optic nerve	104	100	$110.71	$33.32
92134 Imaging of retina	34	31	$111.00	$38.47
92002 New patient problem focused exam of visual system	23	23	$145.00	$79.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$290.00	$145.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$190.00	$92.78
76514 Ultrasound scan of cornea to determine thickness	11	11	$35.00	$11.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	871	542	$1999.42	$502.30
66984 Removal of cataract with insertion of lens	591	382	$6.79	$6.69
92014 Established patient complete exam of visual system	577	560	$215.08	$118.61
92004 New patient complete exam of visual system	562	562	$258.11	$142.34
76519 Ultrasound of eye for determination of lens power	480	336	$123.42	$53.79
92136 Measurement of corneal curvature and depth of eye	442	331	$110.93	$55.05
66821 Removal of recurring cataract in lens capsule using a laser	256	256	$924.50	$304.07
92012 Established patient problem focused exam of visual system	151	119	$148.11	$82.24
66982 Complex removal of cataract with insertion of prosthetic lens	135	100	$2397.00	$626.13
92133 Imaging of optic nerve	119	113	$111.00	$33.83
92083 Exam of visual field with extended testing	108	106	$139.44	$58.26
66982 Complex removal of cataract with insertion of prosthetic lens	91	67	$8.62	$8.48
92134 Imaging of retina	20	19	$111.00	$36.43
92002 New patient problem focused exam of visual system	17	17	$142.35	$78.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$276.94	$141.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$190.00	$87.47
76514 Ultrasound scan of cornea to determine thickness	13	13	$35.00	$13.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	904	557	$2001.79	$506.11
92004 New patient complete exam of visual system	731	731	$237.78	$139.73
92014 Established patient complete exam of visual system	651	638	$196.63	$115.68
66984 Removal of cataract with insertion of lens	633	390	$35.28	$14.59
92136 Measurement of corneal curvature and depth of eye	609	454	$116.90	$65.51
76519 Ultrasound of eye for determination of lens power	507	339	$121.26	$58.10
66821 Removal of recurring cataract in lens capsule using a laser	257	256	$881.28	$305.76
92012 Established patient problem focused exam of visual system	209	170	$135.96	$79.76
92083 Exam of visual field with extended testing	146	139	$141.03	$58.20
92133 Imaging of optic nerve	130	124	$111.00	$33.22
66982 Complex removal of cataract with insertion of prosthetic lens	111	77	$2393.46	$630.40
66982 Complex removal of cataract with insertion of prosthetic lens	72	51	$41.87	$18.76
92002 New patient problem focused exam of visual system	53	53	$130.45	$76.05
92134 Imaging of retina	30	27	$111.00	$35.71
76514 Ultrasound scan of cornea to determine thickness	21	21	$35.00	$13.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$173.75	$95.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$190.00	$94.01

Medical Specialties & State Licenses

CMS Verified: 2020-09-01

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NE 14011

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License KS 0420089

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

10025619700 (NE)

Commercial Insurance / Payer ID Kansas Medicaid

100118450A (KS)

Commercial Insurance / Payer ID Kansas Medicaid

100118450C (KS)

Commercial Insurance / Payer ID Medical License Ne

14011 (NE)

Commercial Insurance / Payer ID Medical License

04-20089 (KS)

Commercial Insurance / Payer ID Medical License

14011 (NE)

Commercial Insurance / Payer ID Railroad Medicare

180036327 (KS)

Commercial Insurance / Payer ID Ks Medicaid Ne Services

2050099803 (KS)

Commercial Insurance / Payer ID Railroad Medicare

P00060704 (NE)

Hospital & Practice Group Affiliations

Eye Surgical Associates Llc

1710 S 70th St, Lincoln, NE 685061676

Phone: 4402484900

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Donald Sauberan , MD

Ophthalmology

NPI 1023002847

Doctor of Medicine (M.D.)

Dr. Gregory Sutton , MD

Ophthalmology

NPI 1023016656

Doctor of Medicine (M.D.)

Dr. Margaret Sutton , MD

Dermatology

NPI 1043218225

Doctor of Medicine (M.D.)

Dr. Larry Wood , MD

Ophthalmology

NPI 1114924016

Doctor of Medicine (M.D.)

Dr. David Blodgett , MD

Ophthalmology

NPI 1144217092

Doctor of Medicine (M.D.)

Dr. Thomas Clark , MD

Ophthalmology

NPI 1144632183

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Ophthalmology (License #14011 in NE)

✅

NPI Profile Active October 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2011

Registered at 1710 S 70TH ST, LINCOLN, NE 685061676 (Tel: 4024849000)

📍

Updated Business Mailing Address October 25, 2011

Registered at PO BOX 6068, LINCOLN, NE 685060068 (Tel: 4024849000)

👤

Provider Name / Credentials Updated October 25, 2011

Recorded as VINCENT SUTTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2011

Ophthalmology (License #14011 in NE)

🟢

Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134126030

Entity Type:

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

Enumeration Date: July 07, 2005

Last Update: September 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6068

Lincoln, NE 685060068

Phone: 4024849000

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.