Active NPI 1255526232 Individual Practitioner Male Practitioner

Dr. Jeffrey Richard Sutton , OD

Optometrist • Boone, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Sutton, OD is a certified Optometrist practicing in Boone, NC. With approximately 38 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1988, Dr. Sutton delivers high-quality medical care to the local community at 717 GREENWAY RD.

Dr. Sutton is affiliated with Wilcox Optometry Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient complete exam of visual system, established patient complete exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

717 Greenway Rd
Suite C

Boone, NC 286074991

Telephone 8282652020

Fax 8282642257

Associated Practice Facility / Clinic

🏢 Goldman Center For Facial Plastic Surgery Pllc Facility NPI 1750625927

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Boone, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +21.3 yrs vs City Avg

City Avg: 16.7 Yrs

State Avg: 24.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Boone, NC (1531 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

7.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutton (38 Years) 38 Yrs

Boone Specialty Average (16.7 Years) 16.7 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
92004 New patient complete exam of visual system	375	375	$146.80	$143.21
92014 Established patient complete exam of visual system	313	313	$123.67	$120.74
92250 Photography of the retina	136	134	$36.45	$34.84
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	43	43	$106.01	$104.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	35	34	$73.17	$71.94
92012 Established patient problem focused exam of visual system	22	22	$121.00	$83.95
76514 Ultrasound scan of cornea to determine thickness	20	20	$11.07	$10.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	402	402	$153.15	$141.69
92014 Established patient complete exam of visual system	287	287	$131.23	$119.16
92250 Photography of the retina	118	118	$37.73	$35.21
92012 Established patient problem focused exam of visual system	68	67	$126.74	$84.68
76514 Ultrasound scan of cornea to determine thickness	17	17	$11.49	$10.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	15	$107.09	$100.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	518	518	$152.49	$143.91
92014 Established patient complete exam of visual system	408	406	$128.67	$121.32
92250 Photography of the retina	192	187	$38.18	$35.42
92012 Established patient problem focused exam of visual system	156	145	$121.00	$85.47
76514 Ultrasound scan of cornea to determine thickness	34	34	$11.78	$10.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	490	484	$128.67	$123.57
92004 New patient complete exam of visual system	374	374	$151.94	$147.11
92250 Photography of the retina	149	149	$39.73	$38.16
92012 Established patient problem focused exam of visual system	14	14	$121.00	$87.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,092	20	$5.82	$1.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	250	$125.00	$105.58
92250 Photography of the retina	88	85	$104.00	$43.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	74	74	$176.00	$142.34
92083 Exam of visual field with extended testing	30	29	$120.00	$60.81
92134 Imaging of retina	30	29	$70.53	$39.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$198.00	$159.79
92133 Imaging of optic nerve	22	20	$71.00	$34.83
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$85.00	$72.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,309	23	$5.59	$1.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	456	351	$125.00	$104.78
92250 Photography of the retina	136	133	$104.00	$48.41
99213 Established patient office or other outpatient visit, typically 15 minutes	82	68	$85.00	$71.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$198.00	$158.38
92134 Imaging of retina	36	32	$70.53	$39.55
92083 Exam of visual field with extended testing	33	33	$120.00	$61.31
92133 Imaging of optic nerve	23	23	$71.00	$35.02

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	366	293	$130.50	$103.36
99213 Established patient office or other outpatient visit, typically 15 minutes	99	69	$88.65	$69.83
92250 Photography of the retina	97	97	$81.11	$54.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$199.47	$158.21
92083 Exam of visual field with extended testing	31	30	$77.52	$61.20
66984 Removal of cataract with insertion of lens	28	17	$156.61	$118.60
92133 Imaging of optic nerve	27	27	$53.04	$35.54
92134 Imaging of retina	24	22	$54.00	$39.80

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	387	301	$130.00	$99.43
92250 Photography of the retina	98	96	$94.00	$59.89
99213 Established patient office or other outpatient visit, typically 15 minutes	88	74	$88.00	$67.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$199.00	$151.56
92134 Imaging of retina	38	32	$54.00	$37.80
92083 Exam of visual field with extended testing	30	29	$77.00	$58.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$130.00	$99.39
92133 Imaging of optic nerve	18	18	$53.00	$34.27
66984 Removal of cataract with insertion of lens	17	12	$155.88	$117.10
67820 Removal of eyelashes using forceps	12	11	$61.00	$46.54
92014 Established patient complete exam of visual system	11	11	$149.27	$116.30

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NC 1300

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8909826 (NC)

Commercial Insurance / Payer ID Bcbsnc

09826 (NC)

Commercial Insurance / Payer ID Group Npi #

1780805804 (NC)

Hospital & Practice Group Affiliations

Wilcox Optometry Pllc

800 Tiffany Blvd, Rocky Mount, NC 278041807

Phone: 50224424205415

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2013

Registered at 717 GREENWAY RD, SUITE C, BOONE, NC 286074991 (Tel: 8282652020)

📍

Updated Business Mailing Address August 12, 2013

Registered at 717 GREENWAY RD, SUITE C, BOONE, NC 286074991 (Tel: 8282652020)

👤

Provider Name / Credentials Updated August 12, 2013

Recorded as JEFFREY SUTTON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2013

Optometrist (License #1300 in NC)

🟢

Initial NPI Registration & Enumeration September 12, 2007

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: 1255526232

Entity Type:

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

Enumeration Date: September 12, 2007

Last Update: August 12, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

717 Greenway Rd, Suite C

Boone, NC 286074991

Phone: 8282652020

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.