Active NPI
David P Sutton, M.D.
- Ophthalmology Physician
- Chippewa Falls, WI
National Provider Identifier
1508826918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 29034-20
- Practice address
- 2525 County Highway I
Chippewa Falls, WI 54729-1422 - Phone
- (715) 723-9375
- Fax
- (715) 723-1092
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35147 | AZ | |
| Ophthalmology Physician | 207W00000X | 036120295 | IL | |
| Ophthalmology Physician | 207W00000X | 29034-20 | WI | Primary |
Addresses
Primary practice location
2525 County Highway I
Chippewa Falls, WI 54729-1422
Mailing address
2525 County Highway I
Chippewa Falls, WI 54729-1422
Phone (715) 723-9375
Other practice location 1
102 S. Hennepin Ave
KSB Medical Group
Dixon, IL 61021-3013
Phone (815) 288-7711
Other practice location 2
101 W 2nd St
Dixon, IL 61021
Phone (815) 285-8523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400374739 | Other | IL | MEDICARE |
| 036120295 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dsutton257253@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.88 of 100
- Quality
- 94.46
- Improvement activities
- 40
- Cost
- 73.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35147 | AZ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KSB Medical Group, Inc. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1508826918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 COUNTY HIGHWAY I",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547291422",
"telephone_number": "715-723-9375",
"fax_number": "715-723-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 COUNTY HIGHWAY I",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547291422",
"telephone_number": "715-723-9375",
"fax_number": "715-723-1092"
}
],
"practiceLocations": [
{
"address_1": "102 S. Hennepin Ave",
"address_2": "KSB Medical Group",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "610213013",
"country_code": "US",
"telephone_number": "815-288-7711",
"fax_number": "815-285-8901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W 2nd St",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "61021",
"country_code": "US",
"telephone_number": "815-285-8523",
"fax_number": "815-285-8901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "DAVID",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "35147",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036120295",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "29034-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "F400374739",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036120295",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dsutton257253@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2525 County Highway I",
"city": "Chippewa Falls",
"state": "WI",
"country_code": "US",
"postal_code": "547291422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.