Doctor profile · Federal record
Dr. John Sutton, MD
Family Medicine Physician (CMS: Family Practice) · Warren, PA
- NPI 1164490025
- Accepts Medicare
- MIPS 92.5 / 100 · 2023
- 38 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
103 W Saint Clair St Rm 2A
Warren, PA 163652188
(814) 723-1212 - Additional location
-
400 E Main St
Youngsville, PA 163711128
(814) 563-7591
fax (814) 723-8515 - Mailing address
-
2 W Crescent Park
Warren, PA 163652111
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- August 12, 2020
- Year of graduation
- 1988 — 38 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Pennsylvania #MD054007L
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164490025. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,099
Distinct HCPCS
10
Medicare allowed
$98,269
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 396 | 189 | $95 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 294 | 142 | $95 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 176 | 123 | $70 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 120 | 77 | $65 | |
99495 |
Transitional care management services for problem of at least moderate complexity | 30 | 27 | $133 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $126 | |
99495 |
Transitional care management services for problem of at least moderate complexity | 19 | 16 | $137 | |
20610 |
Aspiration and/or injection of fluid from large joint | 14 | 11 | $43 | |
20610 |
Aspiration and/or injection of fluid from large joint | 13 | 13 | $44 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 11 | 11 | $161 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 133. This provider delivers 8.3× the peer median.Open Payments
Industry payments received
All-time total
$1,149
Transactions
60
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 9 | $246.55 | |
| ABBVIE INC. | 6 | $111.04 | |
| Phathom Pharmaceuticals, Inc. | 5 | $101.81 | |
| Astellas Pharma US Inc | 5 | $95.72 | |
| Lilly USA, LLC | 5 | $89.28 | |
| GlaxoSmithKline, LLC. | 5 | $78.01 | |
| Novo Nordisk Inc | 5 | $76.22 | |
| Merck Sharp & Dohme LLC | 4 | $69.50 | |
| Exact Sciences Corporation | 4 | $63.72 | |
| Xeris Pharmaceuticals, Inc. | 3 | $55.74 | |
| Bayer Healthcare Pharmaceuticals Inc. | 3 | $50.29 | |
| Amgen Inc. | 3 | $47.58 | |
| PFIZER INC. | 1 | $16.96 | |
| Janssen Pharmaceuticals, Inc | 1 | $15.80 | |
| Dexcom, Inc. | 1 | $15.66 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
5,662
Patients
1,374
Total drug cost
$80,345
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 883 | 233 | $14,048 |
| Pantoprazole Sodium | Generic | 644 | 159 | $12,876 |
| Lisinopril | Generic | 616 | 151 | $6,206 |
| Amlodipine Besylate | Generic | 466 | 113 | $3,604 |
| Levothyroxine Sodium | Generic | 367 | 84 | $4,927 |
| Metoprolol Tartrate | Generic | 367 | 87 | $2,965 |
| Potassium Chloride | Generic | 358 | 85 | $10,920 |
| Metoprolol Succinate | Generic | 287 | 75 | $5,701 |
| Furosemide | Generic | 277 | 69 | $1,389 |
| Metformin Hcl | Generic | 255 | 71 | $2,418 |
Frequently asked questions
What is Dr. John Sutton's medical specialty?
Dr. John Sutton practices Family Medicine Physician in Warren, PA.
Where does Dr. John Sutton practice?
Dr. John Sutton practices at 103 W Saint Clair St Rm 2A, Warren, PA 163652188. Office phone: 8147231212.
What is Dr. John Sutton's NPI?
Dr. John Sutton's National Provider Identifier (NPI) is 1164490025, issued by NPPES.
Does Dr. John Sutton accept Medicare assignment?
Yes. Dr. John Sutton accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. John Sutton commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.