MARK S SUTTON (M.D.) – Dermatology Physician, NPI 1003841248

MARK S SUTTON (M.D.) is a healthcare provider. based in Los angeles, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G27354 (CA). The NPI Number for MARK S SUTTON (M.D.) is 1003841248

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MARK S SUTTON (M.D.)
NPI
1003841248
Phone
(909) 558-3111
Address
54701 FILE NUMBER
Enumeration Date
12 July 2006
Last Update Date
19 December 2024

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9496523095
Graduation Year
1990 (36 years ago)
PAC ID
9234263427
Group Practice PAC ID
9537181185
Professional Enrollment ID
I20100810000173
Address ID
CA926723601SA161XXVAQU300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

13,190 FAMILY PRACTICE in CA

Provider Addresses for MARK S SUTTON (M.D.)

  • 54701 FILE NUMBER

    LOS ANGELES, CA 900744701

    Phone: (909) 558-3111

    Type: Mailing

  • 25455 Barton Rd

    SUITE 204B

    Loma Linda, CA 923543128

    Phone: (909) 558-6600

    Type: Location

  • 930 W MAIN ST

    BARSTOW, CA 923112654

    Phone: (760) 256-1004

    Fax: (760) 256-1055

    Type: Mailing

  • 121 S 7TH AVE STE A

    BARSTOW, CA 923113059

    Phone: (760) 818-4228

    Fax: (760) 256-1055

    Type: Location

  • Loma Linda Family Medicine Center, 25455, Barton Road, Loma Linda, San Bernardino County, California, 92357, United States

    SUITE 204B

    LOMA LINDA, CA 923543128

    Phone: (909) 558-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $2,216.

Total Amount is formed as General ($2,216) + Research ($0) + Ownership ($0) = $2,216.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($321).

Total Amount

$2,216

General + Research + Ownership

Payments

93

Total payment records

General Amount

$2,216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100810000173IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes267198$0
17003Destruction of precancer skin growth, 2-14 growths23070$0
88305Pathology examination of tissue using a microscope, intermediate complexity12877$0
11102Biopsy of related skin growth, first growth118109$0
99203New patient office or other outpatient visit, 30-44 minutes110110$0
View full utilization report →

Insurance plans in this area (ZIP 90074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537181185View full group profile
NameSpecialtyState
-CA
Physician AssistantCA
Physician AssistantAZ
Physician AssistantCA
Physician AssistantUT
Nurse PractitionerAZ
Physician AssistantCA
Physician AssistantAZ
D E R M A T O L O G YCA
-CA

Reviews

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Frequently asked questions

What is the standard ID for MARK S SUTTON (M.D.) in the U.S.?
In the U.S., MARK S SUTTON (M.D.) is identified by NPI 1003841248.
Is MARK S SUTTON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MARK S SUTTON (M.D.) as active.
What services align with MARK S SUTTON (M.D.)'s listing?
MARK S SUTTON (M.D.)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is MARK S SUTTON (M.D.) tied to Los Angeles, California?
If you are local to Los Angeles, California, MARK S SUTTON (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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