John Sutton, MD
NPI 1164490025 · Family Medicine Physician · Warren, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Sutton, MD is a Family Medicine Physician provider in Warren, PA (NPI 1164490025).
Provider details
- NPI number
- 1164490025
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD054007L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
943 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 515 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 246 | $85 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 53 | $94 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 37 | $124 |
| Transitional Care Management Services for Problem of at Least Moderate Complexity99495 | 33 | $197 |
| Aspiration And/Or Injection of Fluid From Large Joint |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 175 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 842 | 213 |
| Pantoprazole Sodium | 704 | 168 |
| Lisinopril | 646 | 158 |
| Amlodipine Besylate | 427 | 104 |
| Levothyroxine Sodium | 422 | 93 |
| Potassium Chloride | 398 | 108 |
| Metoprolol Tartrate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,149 across 61 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 400 E Main StYoungsville, PA 16371-1128Phone: (814) 563-7591Fax: (814) 723-8515
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2020-08-12
- Certified
- 2020-08-12
Frequently asked questions
- What is John Sutton's NPI number?
- John Sutton's National Provider Identifier (NPI) is 1164490025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Sutton's specialty?
- John Sutton is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is John Sutton located?
- John Sutton's practice location on file with NPPES is 103 W Saint Clair St Rm 2a, Warren, PA 16365-2188.
- What is John Sutton's phone number?
- The practice phone number listed in the NPPES registry for John Sutton is (814) 723-1212.
- Does John Sutton accept Medicare?
- John Sutton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Sutton's NPI active?
- Yes — John Sutton's NPI (1164490025) is active in the NPPES registry as of the last update on 2020-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.