Active NPI 1306922026 Individual Practitioner Male Practitioner

Paul Randolph Sutton

Internal Medicine • Seattle, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Paul Sutton is a certified Internal Medicine practicing in Seattle, WA. With approximately 32 years of clinical experience since graduating from University Of Chicago, Pritzker School Of Medicine in 1994, Paul Sutton delivers high-quality medical care to the local community at UWMC-ROOSEVELT.

Paul Sutton is affiliated with The Association Of University Physicians 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, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Uwmc-Roosevelt
4245 Roosevelt Way Ne

Seattle, WA 981056920

Telephone 2065988750

Associated Practice Facility / Clinic

🏢 The Association Of University Physicians Facility NPI 1023041159

Medicare Profile & Education

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +11.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

839 Specialists

Practicing in Seattle, WA (3169 Statewide)

Telehealth Adoption Rate

26.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sutton (32 Years) 32 Yrs

Seattle Specialty Average (20.3 Years) 20.3 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	54	17	$244.56	$83.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$300.38	$106.53
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	12	$51.19	$18.10
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$203.35	$72.19

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	21	15	$260.09	$104.63

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	56	20	$201.61	$75.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	15	$291.03	$109.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$216.57	$105.98
99239 Hospital discharge day management, more than 30 minutes	15	15	$295.04	$113.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$376.44	$145.86

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	41	13	$196.58	$77.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	15	$214.10	$107.85

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	35	11	$171.98	$79.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$188.50	$86.05
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$128.59	$55.96

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	54	16	$158.28	$77.83
99213 Established patient office or other outpatient visit, typically 15 minutes	26	18	$111.33	$54.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	20	$170.90	$84.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$254.41	$128.06

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	94	24	$157.48	$77.02
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$111.35	$54.24
99239 Hospital discharge day management, more than 30 minutes	15	15	$234.26	$114.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$253.65	$126.77

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	70	25	$156.96	$74.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	12	$226.40	$108.92
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$110.90	$53.26
99239 Hospital discharge day management, more than 30 minutes	15	15	$233.46	$107.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$251.93	$124.65

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00036513

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

1306922026 (WA)

Commercial Insurance / Payer ID Internal Id-Motor Vehicle Id

243510

Commercial Insurance / Payer ID L&i

0232006 (WA)

Hospital & Practice Group Affiliations

The Association Of University Physicians

1959 Ne Pacific St, Seattle, WA 981950001

Phone: 2065984333

The Association Of University Physicians

4245 Roosevelt Way Ne, Seattle, WA 981056008

Phone: 2065987954

The Association Of University Physicians

1701 Columbia Rd, Seattle, WA 981950001

Phone: 2065983100

Practice Associates & Co-Workers

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

40 Associated Practitioners

Douglas Paauw

Internal Medicine

NPI 1003992769

Diane Britt , ARNP

Nurse Practitioner - Adult Health

NPI 1013967975

Advanced Registered Nurse Practitioner

Dr. Jehan Budak , MD

Internal Medicine

NPI 1023384229

Doctor of Medicine (M.D.)

Eric Larson

Internal Medicine

NPI 1033295787

Dr. Laura O'neill , MD

Pediatrics

NPI 1033477468

Doctor of Medicine (M.D.)

Dr. Heidi Powell , MD

Internal Medicine

NPI 1043396708

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 November 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2012

Registered at UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 981056920 (Tel: 2065988750)

📍

Updated Business Mailing Address November 20, 2012

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065436420)

👤

Provider Name / Credentials Updated November 20, 2012

Recorded as PAUL SUTTON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2012

Internal Medicine (License #MD00036513 in WA)

🟢

Initial NPI Registration & Enumeration October 27, 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: 1306922026

Entity Type:

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

Enumeration Date: October 27, 2006

Last Update: November 20, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 50095

Seattle, WA 981455095

Phone: 2065436420

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.