DR. JARED ALLAN SUTTON (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1104119403

DR. JARED ALLAN SUTTON (M.D.) is a healthcare provider. based in Fort gordon, Georgia. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. 27102 (NE). The NPI Number for DR. JARED ALLAN SUTTON (M.D.) is 1104119403

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARED ALLAN SUTTON (M.D.)
NPI
1104119403
Phone
(605) 520-1755
Address
300 HOSPITAL ROAD
Enumeration Date
18 May 2011
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
6058827000
Graduation Year
2011 (15 years ago)
PAC ID
0244522589
Group Practice PAC ID
8628987823
Professional Enrollment ID
I20200429001723
Address ID
SD572011548WA401XXNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

644 CRITICAL CARE (INTENSIVISTS) in GA

Provider Addresses for DR. JARED ALLAN SUTTON (M.D.)

  • 300 HOSPITAL ROAD

    EMERGENCY DEPARTMENT

    FORT GORDON, GA 309055650

    Phone: (605) 520-1755

    Type: Mailing

  • 353 FAIRMONT BLVD

    INTENSIVE CARE UNIT

    RAPID CITY, SD 57701

    Phone: (605) 520-1755

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-04-29

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
I20200429001723ICritical Care (Intensivists)SDTBD

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
99291Critical care, first 30-74 minutes7461$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2929$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1713$0
99284Emergency department visit with moderate level of medical decision making1717$0
99285Emergency department visit with high level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 30905)

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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: 8628987823View full group profile
NameSpecialtyState
Nurse PractitionerSD
Cardiovascular Disease (Cardiology), Interventional CardiologyOH
Certified Registered Nurse Anesthetist (Crna)SD
Certified Registered Nurse Anesthetist (Crna)MN
Emergency Medicine, Family PracticeSD
-SD
Orthopedic SurgerySD
Certified Registered Nurse Anesthetist (Crna)SD
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerSD

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Frequently asked questions

What NPI should I save for DR. JARED ALLAN SUTTON (M.D.)?
Save NPI 1104119403 if you need a stable reference for DR. JARED ALLAN SUTTON (M.D.).
Is DR. JARED ALLAN SUTTON (M.D.)'s enrollment marked active?
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Does DR. JARED ALLAN SUTTON (M.D.) list a primary specialty?
If you are matching referrals, note Critical Care Medicine (Internal Medicine) Physician for DR. JARED ALLAN SUTTON (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JARED ALLAN SUTTON (M.D.)?
The page summarizes Fort Gordon, Georgia for DR. JARED ALLAN SUTTON (M.D.); expand the address list for detail.
Is DR. JARED ALLAN SUTTON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104119403. Always confirm identity and privileges with the practice and licensing boards.

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