Active NPI 1477511939 Individual Practitioner Male Practitioner

Dr. Jeffrey Blaine Sutton , DO

Internal Medicine • Niles, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Sutton, DO is a registered healthcare professional specializing in Internal Medicine in Niles, OH. Practice services are available at 1250 YOUNGSTOWN WARREN RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, 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

1250 Youngstown Warren Rd
Sutie 1a

Niles, OH 444464612

Telephone 3305441500

Fax 3305447988

Associated Practice Facility / Clinic

🏢 Sutton Internal And Physical Medicine Clinic, Inc Facility NPI 1386726214

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Niles, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 35.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Niles, OH (5516 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.8% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$95.00	$88.58

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	282	22	$125.00	$101.25
99213 Established patient office or other outpatient visit, typically 15 minutes	157	31	$109.52	$88.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	89	11	$100.00	$67.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	23	$140.00	$125.28
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	80	13	$145.00	$88.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	17	$200.00	$196.35
99239 Hospital discharge day management, more than 30 minutes	22	18	$215.00	$103.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	12	$60.00	$52.73

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	355	21	$125.00	$103.46
99213 Established patient office or other outpatient visit, typically 15 minutes	182	39	$95.00	$72.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	32	$140.00	$105.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	66	21	$100.00	$67.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	66	23	$145.00	$89.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	12	$60.00	$43.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	21	$200.00	$198.50
99315 Nursing facility discharge day management, 30 minutes or less	19	19	$80.00	$71.97
99239 Hospital discharge day management, more than 30 minutes	18	16	$215.00	$105.76
99306 Initial nursing facility visit, typically 45 minutes per day	17	16	$175.00	$164.44
36415 Insertion of needle into vein for collection of blood sample	13	13	$15.00	$2.97

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	425	27	$124.93	$98.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	225	38	$100.00	$64.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	171	32	$145.00	$86.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	37	$140.00	$90.94
99213 Established patient office or other outpatient visit, typically 15 minutes	139	39	$95.00	$67.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	27	$202.62	$190.58
99306 Initial nursing facility visit, typically 45 minutes per day	43	35	$175.00	$153.94
99315 Nursing facility discharge day management, 30 minutes or less	31	28	$80.00	$67.14
99239 Hospital discharge day management, more than 30 minutes	25	20	$215.00	$100.85
36415 Insertion of needle into vein for collection of blood sample	16	14	$15.00	$2.76

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	293	18	$125.00	$95.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	235	49	$100.00	$63.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	204	45	$145.00	$84.02
99213 Established patient office or other outpatient visit, typically 15 minutes	187	41	$95.00	$63.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	39	$140.00	$86.18
99306 Initial nursing facility visit, typically 45 minutes per day	53	47	$175.00	$153.70
99315 Nursing facility discharge day management, 30 minutes or less	37	37	$80.00	$66.88
99239 Hospital discharge day management, more than 30 minutes	31	19	$215.00	$96.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	13	$200.38	$173.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	700	62	$145.00	$82.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	40	$140.00	$83.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	172	42	$100.00	$62.62
99213 Established patient office or other outpatient visit, typically 15 minutes	147	36	$95.00	$64.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	87	11	$125.00	$95.26
99306 Initial nursing facility visit, typically 45 minutes per day	75	60	$175.00	$151.88
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	51	16	$20.00	$10.72
99316 Nursing facility discharge management, more than 30 minutes	34	28	$115.00	$96.17
99315 Nursing facility discharge day management, 30 minutes or less	30	28	$80.00	$66.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	11	$208.46	$184.99

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34-00-7547-S

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Neuromusculoskeletal Medicine & OMM

NUCC Taxonomy Code: 204D00000X

State License OH 34-00-7547-S

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2378323 (OH)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Mark Demalio , DC

Chiropractor

NPI 1376513424

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 18, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2008

Registered at 1250 YOUNGSTOWN WARREN RD, SUTIE 1A, NILES, OH 444464612 (Tel: 3305441500)

📍

Updated Business Mailing Address January 18, 2008

Registered at 1250 YOUNGSTOWN WARREN RD, SUTIE 1A, NILES, OH 444464612 (Tel: 3305441500)

👤

Provider Name / Credentials Updated January 18, 2008

Recorded as JEFFREY SUTTON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2008

Neuromusculoskeletal Medicine & OMM (License #34-00-7547-S in OH)

🟢

Initial NPI Registration & Enumeration May 03, 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: 1477511939

Entity Type:

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

Enumeration Date: May 03, 2006

Last Update: January 18, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1250 Youngstown Warren Rd, Sutie 1a

Niles, OH 444464612

Phone: 3305441500

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.