DR. THOMAS LANE SUTTON (M.D.) – Pediatric Gastroenterology Physician, NPI 1750319232
Pediatric Gastroenterology Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. THOMAS LANE SUTTON (M.D.)
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 357-1700
Type: Mailing
44199 Dequindre Rd Ste 615
Troy, MI 480851128
Phone: (248) 964-9660
Type: Location
1055, North 300 West, North Park, Pleasant View, Provo, Utah County, Utah, 84604, United States
SUITE 110
PROVO, UT 846043344
Phone: (801) 357-1700
Type: Location
26901 BEAUMONT BLVD
SOUTHFIELD, MI 480333849
Phone: (947) 522-1867
Type: Mailing
3535 W 13 MILE RD STE 707
ROYAL OAK, MI 480736770
Phone: (248) 551-0487
Type: Location
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: 2024-05-14
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 |
|---|---|---|---|---|
| I20240514001204 | I | Pediatric Medicine | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84127)
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