2026 NPPES data Nephrology Physician NPI 1467411231 MD
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JAMES SUTTON, MD

Nephrology Physician in LAFAYETTE, Indiana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
531
Medicare Part D claims · 106 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$3.08
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES SUTTON, MD filed 531 Medicare Part D claims in 2023 as a Nephrology Physician in LAFAYETTE, Indiana, prescribing 70% generic.

531
Part D claims, 2023
70%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JAMES SUTTON, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

531 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JAMES SUTTON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JAMES SUTTON, MD?

Quality data not reported

NPI registry status

Active

Issued 03/21/2006

NPI 1467411231

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

531 63% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

Specialty distribution in Indiana

How Nephrology Physician compares to other specialties among Indiana providers

Indiana providers

Nephrology Physician share within Indiana

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within Indiana

Specialty board-certification context

Estimated specialty board-certified rate — Nephrology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nephrology Physician ABMS/AOA estimate

Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JAMES SUTTON, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 915 MEZZANINE DR, LAFAYETTE, IN, 47905, with a listed phone of (765) 448-8000. NPI 1467411231 was issued on 03/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUTTON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 531 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $93K in drug spend, split 30% brand-name and 70% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

915 MEZZANINE DR
LAFAYETTE, IN 47905

Provider Details

NPI 1467411231
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 03/21/2006

Hospital and facility affiliations

Facilities where JAMES SUTTON, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ARNETT CLINIC LLC
LAFAYETTE, IN
IU HEALTH MEDICAL GROUP LLC
INDIANAPOLIS, IN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JAMES SUTTON, MD. Source: openpaymentsdata.cms.gov.

Total received

$3

Largest payer

Travere Therapeutics, Inc.

Most common payment type

Education

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

JAMES SUTTON, MD — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 531 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

531
Total Claims
$93K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,069
Total Day Supply
28,948
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$85K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
3.51
Gender Split
58% female / 42% male
Age Distribution
<65: 23, 65-74: 36, 75-84: 31, 85+: 16

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JAMES SUTTON, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Clinolipid
Fat Emulsion/Olive/Soy/Phospho
71
Furosemide
66
Amlodipine Besylate
60
Prosol
Parenteral Amino Acid 20% No.1
40
Lisinopril
23
Calcitriol
20
Metoprolol Succinate
20
Spironolactone
20
Lokelma
Sodium Zirconium Cyclosilicate
15
Gabapentin
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How JAMES SUTTON, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

JAMES SUTTON, MD's 531 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Indiana

Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as SUTTON.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES SUTTON, MD's specialty?
JAMES SUTTON, MD specializes in Nephrology Physician and practices in LAFAYETTE, Indiana. Credentials: MD.
How much does JAMES SUTTON, MD prescribe under Medicare Part D?
In 2023, JAMES SUTTON, MD wrote 531 Medicare Part D claims totaling $93K in drug costs for 106 beneficiaries.
Where is JAMES SUTTON, MD located?
JAMES SUTTON, MD is located at 915 MEZZANINE DR, LAFAYETTE, IN, 47905. Phone: (765) 448-8000.
What is JAMES SUTTON, MD's NPI number?
JAMES SUTTON, MD's National Provider Identifier (NPI) is 1467411231, issued on 03/21/2006.
Does JAMES SUTTON, MD prescribe more brand-name or generic drugs?
JAMES SUTTON, MD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $85K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does JAMES SUTTON, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES SUTTON, MD's most frequently prescribed drugs include Clinolipid, Furosemide, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES SUTTON, MD accept Medicare?
JAMES SUTTON, MD appears in CMS Medicare data with 531 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES SUTTON, MD's credentials?
JAMES SUTTON, MD's NPI is 1467411231 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology