John J. Sutton, MD
Family Medicine Physician · Warren, PA
John J. Sutton, MD is a family medicine physician with a practice address in Warren, Pennsylvania, and NPI 1164490025, issued on Mar 8, 2006. Check the license (Pennsylvania MD054007L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- John J. Sutton
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- MD054007L PA
Self-reported in NPPES; status is on the state search - Practice location
- 103 W Saint Clair St RM 2A, Warren, PA 16365
- Phone
- (814) 723-1212
- Enumerated
- Mar 8, 2006
- Record last updated
- Aug 12, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20060412000298); accepts Medicare assignment
- Medical or professional school
- New York Medical College, 1988
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 7,483 in Pennsylvania → Look up another NPI →
Verify John J. Sutton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD054007LCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.1 times the Medicare Part D claims of the average family medicine physician in 2024
14,633 Medicare Part D claims for 696 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 481 claims were for opioids.
Most prescribed
- Atorvastatin Calcium842 claims
- Pantoprazole Sodium704 claims
- Lisinopril646 claims
- Amlodipine Besylate427 claims
- Levothyroxine Sodium422 claims
- Potassium Chloride398 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 93.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,148.60
61 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Warren General HospitalWarren, PA · Acute Care Hospitals3 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
John J. Sutton among 7,483 family medicine physician records in Pennsylvania
John J. Sutton, MD is one of 7,483 family medicine physician records with a practice address in Pennsylvania. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.
- NPI issued2006 · 12% of these records are older, 53% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated1988 · median 2005 among the 4,529 with a school on file
- Record last updated2020 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 family medicine physician records list a practice address in Warren
They are 10 of the 314 NPPES records with a practice address in Warren, and 7,483 family medicine physician records in Pennsylvania.
All 7,483 in Pennsylvania → Every provider in Warren → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Megan Church, DOWarren, PA 163651902366958
- Frank Clifford, MDWarren, PA 163651548226269
- Jay Endres, MDWarren, PA 163651073581948
- Damian Horner, DOWarren, PA 163651114984853
- Manu Kaushik, MDWarren, PA 163651053642140
- Robert Price, MDWarren, PA 163651992755227
- Andrea Richard, D.O.North Warren, PA 163651033141718
- Stanley Sivak, M.D.Warren, PA 163651225363716
Common questions
What is John J. Sutton, MD's NPI number?
John J. Sutton, MD's National Provider Identifier (NPI) is 1164490025, issued on Mar 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John J. Sutton, MD located?
The NPPES record lists a practice address at 103 W Saint Clair St RM 2A, Warren, PA, 16365. Phone: (814) 723-1212. Providers update this record themselves, so call before visiting.
How can I verify John J. Sutton, MD's license?
NPPES lists Pennsylvania license number MD054007L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John J. Sutton, MD prescribe under Medicare Part D?
In 2024, John J. Sutton, MD had 14,633 Medicare Part D claims for 696 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is John J. Sutton, MD's MIPS final score?
The 2023 MIPS final score is 93.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.