Active NPI 1316992498 Individual Practitioner Male Practitioner

Dr. James Edward Sutton , MD

Internal Medicine • Garland, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Sutton, MD is a certified Internal Medicine practicing in Garland, TX. With approximately 37 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1989, Dr. Sutton delivers high-quality medical care to the local community at 700 WALTER REED BLVD.

Dr. Sutton is affiliated with Healthtexas Provider Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, initial hospital care with moderate level of 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

700 Walter Reed Blvd
Suite 204

Garland, TX 750423701

Telephone 9724875462

Fax 9724875277

Associated Practice Facility / Clinic

🏢 Health Texas Provider Network Facility NPI 1174652184

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Garland, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +6.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

38 Specialists

Practicing in Garland, TX (9538 Statewide)

Telehealth Adoption Rate

18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutton (37 Years) 37 Yrs

Garland 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	315	146	$186.19	$74.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	141	75	$267.68	$113.08
99238 Hospital discharge day management, 30 minutes or less	87	86	$187.87	$74.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	63	$517.48	$164.84
99239 Hospital discharge day management, more than 30 minutes	46	44	$275.10	$109.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$352.24	$124.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	389	156	$186.19	$74.99
99238 Hospital discharge day management, 30 minutes or less	123	121	$187.87	$75.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	100	58	$267.68	$111.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	67	$517.48	$166.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	53	$352.24	$125.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	474	186	$137.38	$67.75
99238 Hospital discharge day management, 30 minutes or less	122	118	$157.30	$66.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	65	$340.67	$189.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	36	$190.23	$98.33
99220 Hospital observation care, typically 70 minutes	45	45	$355.70	$171.16
99225 Subsequent observation care, typically 25 minutes per day	23	19	$150.65	$67.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	18	$269.53	$128.76
99219 Hospital observation care, typically 50 minutes	19	19	$263.13	$126.82
99217 Hospital observation care on day of discharge	15	15	$153.39	$65.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	511	188	$115.00	$69.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	105	$315.00	$193.71
99238 Hospital discharge day management, 30 minutes or less	105	105	$145.00	$67.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	36	$160.00	$99.96
99220 Hospital observation care, typically 70 minutes	38	38	$315.00	$175.97
99217 Hospital observation care on day of discharge	25	25	$145.00	$69.82
99225 Subsequent observation care, typically 25 minutes per day	18	16	$124.00	$69.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$225.00	$131.34
99219 Hospital observation care, typically 50 minutes	13	13	$225.00	$129.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	559	195	$115.00	$71.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	128	64	$160.00	$103.09
99238 Hospital discharge day management, 30 minutes or less	110	105	$145.00	$71.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	79	$315.00	$201.53
99239 Hospital discharge day management, more than 30 minutes	33	33	$195.00	$106.48
99220 Hospital observation care, typically 70 minutes	28	28	$315.00	$183.98
99217 Hospital observation care on day of discharge	23	23	$145.00	$72.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$225.00	$136.54
99219 Hospital observation care, typically 50 minutes	12	12	$225.00	$135.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	574	222	$112.75	$71.70
99238 Hospital discharge day management, 30 minutes or less	175	169	$145.00	$71.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	141	60	$160.00	$100.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	103	101	$315.00	$199.58
99220 Hospital observation care, typically 70 minutes	57	54	$315.00	$183.22
99217 Hospital observation care on day of discharge	56	56	$145.00	$70.77
99225 Subsequent observation care, typically 25 minutes per day	22	18	$124.00	$72.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	14	$85.00	$38.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$225.00	$135.06
99291 Critical care, first 30-74 minutes	16	16	$520.00	$206.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	549	225	$110.00	$70.43
99238 Hospital discharge day management, 30 minutes or less	166	153	$145.00	$71.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	36	$160.00	$101.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	90	$315.00	$196.17
99217 Hospital observation care on day of discharge	57	57	$145.00	$71.14
99220 Hospital observation care, typically 70 minutes	43	43	$315.00	$181.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$225.00	$133.57
99225 Subsequent observation care, typically 25 minutes per day	29	22	$124.00	$71.41
99219 Hospital observation care, typically 50 minutes	20	19	$225.00	$132.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$85.00	$38.25
99291 Critical care, first 30-74 minutes	13	13	$520.00	$217.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	692	255	$110.00	$71.95
99238 Hospital discharge day management, 30 minutes or less	183	178	$145.00	$72.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	108	$315.00	$202.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	32	$160.00	$104.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	44	$85.00	$39.18
99220 Hospital observation care, typically 70 minutes	52	51	$315.00	$185.77
99217 Hospital observation care on day of discharge	30	30	$145.00	$72.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$228.00	$136.58
99225 Subsequent observation care, typically 25 minutes per day	18	17	$124.00	$72.92
99219 Hospital observation care, typically 50 minutes	17	17	$225.00	$135.85

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX H9484

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

125807101 (TX)

Commercial Insurance / Payer ID Bcbs

87W728 (TX)

Hospital & Practice Group Affiliations

Healthtexas Provider Network

4001 Worth St, Dallas, TX 752461608

Healthtexas Provider Network

6800 Scenic Dr, Rowlett, TX 750884552

Phone: 9725352946

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Srilakshmi Chavali , MD

Hospitalist

NPI 1063687259

Doctor of Medicine (M.D.)

Dr. Vijayavalli Little , MD

Hospitalist

NPI 1134306590

Doctor of Medicine (M.D.)

Dr. Safia Raza , MD

Internal Medicine

NPI 1164673893

Doctor of Medicine (M.D.)

Dr. Rachel Hartman , MD

Internal Medicine

NPI 1396764668

Doctor of Medicine (M.D.)

Dr. Usman-Ul-Haq Chaudhry , MD

Family Medicine

NPI 1437352747

Doctor of Medicine (M.D.)

Dr. Manoj Donthineni , MD

Internal Medicine

NPI 1497708093

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2011

Registered at 700 WALTER REED BLVD, SUITE 204, GARLAND, TX 750423701 (Tel: 9724875462)

📍

Updated Business Mailing Address September 23, 2011

Registered at 700 WALTER REED BLVD, SUITE 204, GARLAND, TX 750423701 (Tel: 9724875462)

👤

Provider Name / Credentials Updated September 23, 2011

Recorded as JAMES SUTTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2011

Internal Medicine (License #H9484 in TX)

🟢

Initial NPI Registration & Enumeration May 24, 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: 1316992498

Entity Type:

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

Enumeration Date: May 24, 2006

Last Update: September 23, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

700 Walter Reed Blvd, Suite 204

Garland, TX 750423701

Phone: 9724875462

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.