Douglas Sutton, MD
NPI 1992790513 · Orthopaedic Surgery Physician · Huntingdon Valley, PA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Sutton, MD is a Orthopaedic Surgery Physician provider in Huntingdon Valley, PA (NPI 1992790513).
Provider details
- NPI number
- 1992790513
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD045534L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,074 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 377 | $92 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 194 | $42 |
| Injection of Trigger Points, 1-2 Muscles20552 | 124 | $50 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 82 | $114 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 71 | $171 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 182 | 57 |
| Etodolac | 130 | 61 |
| Meloxicam | 87 | 36 |
| Methocarbamol | 87 | 44 |
| Tizanidine Hcl | 39 | 17 |
| Celecoxib | 30 | — |
| Cyclobenzaprine Hcl | 26 | — |
| Methylprednisolone | 22 | 22 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2012-08-20
Frequently asked questions
- What is Douglas Sutton's NPI number?
- Douglas Sutton's National Provider Identifier (NPI) is 1992790513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Sutton's specialty?
- Douglas Sutton is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Sutton located?
- Douglas Sutton's practice location on file with NPPES is 727 Welsh Rd, Huntingdon Valley, PA 19006-6357.
- What is Douglas Sutton's phone number?
- The practice phone number listed in the NPPES registry for Douglas Sutton is (215) 947-7550.
- Does Douglas Sutton accept Medicare?
- Douglas Sutton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Sutton's NPI active?
- Yes — Douglas Sutton's NPI (1992790513) is active in the NPPES registry as of the last update on 2012-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.