Individual provider Active NPI

David Kristofer Sutton, MD

  • Ophthalmology Physician
  • Whiteville, NC
National Provider Identifier
1801002902
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2011-00265 Issued in NC
Practice address
810 Spivey Rd
Whiteville, NC 28472-8736
Phone
(910) 642-9850
Fax
(910) 642-9852
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2011-00265 NC Primary

Addresses

Primary practice location

810 Spivey Rd
Whiteville, NC 28472-8736

Mailing address

PO Box 525
Whiteville, NC 28472-0525
Phone (910) 642-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110629000066 NC Practitioner - Ophthalmology 4082892799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.98 of 100Reported as individual
Quality
100
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-00265NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whiteville Eye Associates PA Ophthalmology CurrentSince Mar 27, 2013 Accepting new patients
Coastal Cape Fear Eye Associates, PA Ophthalmology Past Accepting new patients

Locations

810 Spivey Rd
Whiteville, NC 28472
Phone (910) 642-9850

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/cd0e7390-249a-4a9b-90a3-cd8f40025a49/

Organizations & group practices 2

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1801002902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284720525",
            "telephone_number": "910-642-9850",
            "fax_number": "910-642-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SPIVEY RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728736",
            "telephone_number": "910-642-9850",
            "fax_number": "910-642-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "DAVID",
        "middle_name": "KRISTOFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2011-00265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.