DOUGLAS CRAIG SUTTON (MD) – Orthopaedic Surgery Physician, NPI 1992790513
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,621 ORTHOPEDIC SURGERY in PA
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Provider Addresses for DOUGLAS CRAIG SUTTON (MD)
727, Welsh Road, Huntingdon Valley, Lower Moreland Township, Montgomery County, Pennsylvania, 19006, United States
SUITE 103
HUNTINGDON VALLEY, PA 190066357
Phone: (215) 947-7550
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2023-09-05 • Largest payer in this snapshot: Providence Medical Technology, Inc. ($58).
Total Amount
$58
General + Research + Ownership
Payments
1
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Providence Medical Technology, Inc. | $58 |
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: 2009-11-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091124000655 | I | Orthopedic Surgery | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 985 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 349 | 206 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 235 | 197 | $0 |
| 20552 | Injection of trigger points, 1-2 muscles | 120 | 82 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 101 | $0 |
Insurance plans in this area (ZIP 19006)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Orthopedic Surgery | NJ | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Orthopedic Surgery | PA | |
| Orthopedic Surgery | AL |
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