DR. KAREN MICHELLE SUTTON (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1497937007

DR. KAREN MICHELLE SUTTON (M.D.) is a healthcare provider. based in New york, New York. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 291091 (NY). The NPI Number for DR. KAREN MICHELLE SUTTON (M.D.) is 1497937007

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAREN MICHELLE SUTTON (M.D.)
NPI
1497937007
Phone
(203) 705-0725
Address
535 E 70th St
Enumeration Date
5 December 2007
Last Update Date
31 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
2033848681
Graduation Year
2003 (23 years ago)
PAC ID
1850468000
Group Practice PAC ID
8022905322
Professional Enrollment ID
I20171016001425
Address ID
CT068253506FA1931XTPKE400
Telehealth
Yes

Contacts

Secure Messaging
ksutton97624@direct.HSS.edu
FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

2,067 ORTHOPEDIC SURGERY in NY

Provider Addresses for DR. KAREN MICHELLE SUTTON (M.D.)

  • 535 E 70th St

    New York, NY 100214823

    Phone: (203) 705-0725

    Type: Location

  • PO BOX 29234

    NEW YORK, NY 100879234

    Phone: (203) 705-0725

    Type: Mailing

  • 1, Blachley Road, Oak Park Townhouses, Stamford, Fairfield County, Connecticut, 06902, United States

    STAMFORD, CT 069020002

    Phone: (203) 705-0725

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $65,059.

Total Amount is formed as General ($65,059) + Research ($0) + Ownership ($0) = $65,059.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($51,038).

Total Amount

$65,059

General + Research + Ownership

Payments

79

Total payment records

General Amount

$65,059

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2017-10-16

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
I20090831000133IOrthopedic SurgeryCTTBD
I20171016001425IOrthopedic SurgeryNYTBD

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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,02011$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9217$0
99213Established patient office or other outpatient visit, 20-29 minutes5936$0
20610Aspiration and/or injection of fluid from large joint4730$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 10021)

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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: 8022905322View full group profile
NameSpecialtyState
Nurse PractitionerCT
Internal MedicineNY
N E U R O L O G YCT
Physician AssistantCT
Physician AssistantCT
Internal MedicineCT
P O D I A T R YCT
P O D I A T R YCT
Physical Medicine And Rehabilitation, NeurologyCT
Internal MedicineCT

Reviews

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Frequently asked questions

How do payers reference DR. KAREN MICHELLE SUTTON (M.D.)?
For DR. KAREN MICHELLE SUTTON (M.D.), use NPI 1497937007 as the unique 10-digit identifier.
Is DR. KAREN MICHELLE SUTTON (M.D.) still an active registrant?
DR. KAREN MICHELLE SUTTON (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. KAREN MICHELLE SUTTON (M.D.)?
DR. KAREN MICHELLE SUTTON (M.D.)'s specialty line reads Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KAREN MICHELLE SUTTON (M.D.)?
Directory geography for DR. KAREN MICHELLE SUTTON (M.D.) centers on New York, New York.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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