Fred Sutton, MD
NPI 1295815538 · Gastroenterology Physician · Houston, TX
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fred Sutton, MD is a Gastroenterology Physician provider in Houston, TX (NPI 1295815538).
Provider details
- NPI number
- 1295815538
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- F7212 (TX)
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
19 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
15 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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 15 | $242 |
Typical Medicare-allowed amounts for these services range $242–$242 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$335 across 16 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)
- 6620 Main StHouston, TX 77030-2348Phone: (713) 798-2500Fax: (713) 798-2505
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Fred Sutton's NPI number?
- Fred Sutton's National Provider Identifier (NPI) is 1295815538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fred Sutton's specialty?
- Fred Sutton is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Fred Sutton located?
- Fred Sutton's practice location on file with NPPES is 1504 Taub Loop, Houston, TX 77030-1608.
- What is Fred Sutton's phone number?
- The practice phone number listed in the NPPES registry for Fred Sutton is (713) 873-8890.
- Does Fred Sutton accept Medicare?
- Fred Sutton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fred Sutton's NPI active?
- Yes — Fred Sutton's NPI (1295815538) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.