DR. ANGELA MARIE SUTTON (D.O.) – Dermatology Physician, NPI 1124361159

DR. ANGELA MARIE SUTTON (D.O.) is a healthcare provider. based in Saint louis, Missouri. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 2018027246 (MO). The NPI Number for DR. ANGELA MARIE SUTTON (D.O.) is 1124361159

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELA MARIE SUTTON (D.O.)
NPI
1124361159
Phone
(314) 977-3400
Address
1225 S Grand Blvd Fl 3
Enumeration Date
27 March 2013
Last Update Date
15 March 2021

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
6182337666
Graduation Year
2013 (13 years ago)
PAC ID
3870736655
Group Practice PAC ID
1850365842
Professional Enrollment ID
I20180904003481
Address ID
IL622082059FA390XXCTXX300

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
asutton114019@direct-ehr-ssmhc.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

337 DERMATOLOGY in MO

Provider Addresses for DR. ANGELA MARIE SUTTON (D.O.)

  • 1225 S Grand Blvd Fl 3

    Saint Louis, MO 631041016

    Phone: (314) 977-3400

    Fax: (314) 977-7613

    Type: Location

  • 390 OFFICE CT

    FAIRVIEW HEIGHTS, IL 622082059

    Phone: (618) 233-7666

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 270 Open Payments records for all available years, with a total value of $4,850.

Total Amount is formed as General ($4,850) + Research ($0) + Ownership ($0) = $4,850.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($589).

Total Amount

$4,850

General + Research + Ownership

Payments

270

Total payment records

General Amount

$4,850

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2019-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180904003481IDermatologyILTBD
I20190910003542IDermatologyMOTBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg3,60013$0
17003Destruction of precancer skin growth, 2-14 growths1,299257$0
99213Established patient office or other outpatient visit, 20-29 minutes722529$0
17000Destruction of precancer skin growth, 1 growth470360$0
11102Biopsy of related skin growth, first growth424342$0
View full utilization report →

Insurance plans in this area (ZIP 63104)

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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: 1850365842View full group profile
NameSpecialtyState
D E R M A T O L O G YMO
D E R M A T O L O G YIL
Nurse PractitionerIL
Physician AssistantIL
D E R M A T O L O G YIL
Nurse PractitionerIL
Physician AssistantIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANGELA MARIE SUTTON (D.O.)?
DR. ANGELA MARIE SUTTON (D.O.) — NPI 1124361159 — is the standard way to identify this listing.
Does CMS list DR. ANGELA MARIE SUTTON (D.O.) as active?
Yes — DR. ANGELA MARIE SUTTON (D.O.) is active in the NPI listing used on this page.
What taxonomy line describes DR. ANGELA MARIE SUTTON (D.O.)?
For research purposes, treat DR. ANGELA MARIE SUTTON (D.O.) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANGELA MARIE SUTTON (D.O.)?
DR. ANGELA MARIE SUTTON (D.O.)'s geographic hint is Saint Louis, Missouri in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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