2026 NPPES data Oral and Maxillofacial Pathology Dentistry NPI 1316916463 DMD
Verify on CMS →

JAMES SUTTON, DMD

Oral and Maxillofacial Pathology Dentistry in BOWLING GREEN, Kentucky. 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
745
Medicare Part D claims · 224 beneficiaries · Oral and Maxillofacial Pathology Dentistry avg: 303
Industry payments
$6.79
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES SUTTON, DMD is a Oral and Maxillofacial Pathology Dentistry ([object Object]) practicing in BOWLING GREEN, Kentucky with a Medicare Part D prescribing footprint of 745 claims across 224 beneficiaries . Industry payments of $6.79 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES SUTTON, DMD filed 745 Medicare Part D claims in 2023 across BOWLING GREEN, Kentucky. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JAMES SUTTON, DMD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/14/2006

NPI 1316916463

Primary specialty

Oral and Maxillofacial Pathology Dentistry

Niche

690 US NPIs in this specialty

Medicare Part D claims

745 146% vs specialty avg

2023 prescription claims

Specialty avg: 303

Specialty distribution in Kentucky

How Oral and Maxillofacial Pathology Dentistry compares to other specialties among Kentucky providers

Kentucky providers

Oral and Maxillofacial Pathology Dentistry share within Kentucky

1. Oral and Maxillofacial Pathology Dentistry42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Oral and Maxillofacial Pathology Dentistry share within Kentucky

Specialty board-certification context

Estimated specialty board-certified rate — Oral and Maxillofacial Pathology Dentistry (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Oral and Maxillofacial Pathology Dentistry ABMS/AOA estimate

Est. board-certified rate (Oral and Maxillofacial Pathology Dentistry) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Oral and Maxillofacial Pathology Dentistry) — 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, DMD is a Oral and Maxillofacial Pathology Dentistry provider practicing in BOWLING GREEN, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DMD. NPI: 1316916463. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES SUTTON, DMD appears in the CMS NPPES registry as a Oral and Maxillofacial Pathology Dentistry provider holding DMD credentials at 1802 ROCKINGHAM AVE, BOWLING GREEN, KY, 42104, with a listed phone of (270) 783-0064. NPI 1316916463 was issued on 03/14/2006. 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 745 prescription claims written by this provider, covering 224 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 25.4%. 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.

Oral and Maxillofacial Pathology Dentistry is a narrow specialty nationwide, with 690 enrolled providers across 48 states and an average of 303 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

1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104

Provider Details

NPI 1316916463
Specialty Oral and Maxillofacial Pathology Dentistry
Credentials DMD
Gender Male
NPI Issued 03/14/2006

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, DMD. Source: openpaymentsdata.cms.gov.

Total received

$7

Largest payer

Ultradent Products Inc

Most common payment type

Food and Beverage

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.

Medicare Part D Prescribing Data

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

745
Total Claims
$3K
Total Drug Cost
224
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
745
Total Day Supply
5,319
Generic Drug Cost
$3K
Opioid Claims
189 (25.4% rate)
Antibiotic Claims
275

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.02
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin
203
Ibuprofen
190
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
179
Chlorhexidine Gluconate
72
Clindamycin Hcl
49

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

Oral and Maxillofacial Pathology Dentistry Overview

How JAMES SUTTON, DMD fits within the Oral and Maxillofacial Pathology Dentistry landscape nationally.

690
Oral and Maxillofacial Pathology Dentistry Providers in US
48
States with Oral and Maxillofacial Pathology Dentistry
303
Avg Claims per Provider

JAMES SUTTON, DMD's 745 claims are above the specialty average of 303.

Nearby Oral and Maxillofacial Pathology Dentistry Providers in Kentucky

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

Compare Oral and Maxillofacial Pathology Dentistry nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES SUTTON, DMD's specialty?
JAMES SUTTON, DMD specializes in Oral and Maxillofacial Pathology Dentistry and practices in BOWLING GREEN, Kentucky. Credentials: DMD.
How much does JAMES SUTTON, DMD prescribe under Medicare Part D?
In 2023, JAMES SUTTON, DMD wrote 745 Medicare Part D claims totaling $3K in drug costs for 224 beneficiaries.
Where is JAMES SUTTON, DMD located?
JAMES SUTTON, DMD is located at 1802 ROCKINGHAM AVE, BOWLING GREEN, KY, 42104. Phone: (270) 783-0064.
What is JAMES SUTTON, DMD's NPI number?
JAMES SUTTON, DMD's National Provider Identifier (NPI) is 1316916463, issued on 03/14/2006.
Does JAMES SUTTON, DMD prescribe opioids?
Yes, JAMES SUTTON, DMD had 189 opioid claims in 2023 with an opioid prescribing rate of 25.4%.
How many Oral and Maxillofacial Pathology Dentistry providers are there in the US?
There are 690 Oral and Maxillofacial Pathology Dentistry providers across 48 states in the US. The average Oral and Maxillofacial Pathology Dentistry provider writes 303 Medicare Part D claims per year.
What drugs does JAMES SUTTON, DMD prescribe most often?
Based on 2023 Medicare Part D data, JAMES SUTTON, DMD's most frequently prescribed drugs include Amoxicillin, Ibuprofen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES SUTTON, DMD accept Medicare?
JAMES SUTTON, DMD appears in CMS Medicare data with 745 Part D claims and 224 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES SUTTON, DMD's credentials?
JAMES SUTTON, DMD's NPI is 1316916463 with credentials DMD. 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