2026 NPPES data Gynecology Physician NPI 1730261991 MD
Verify on CMS →

KYRSTEN SUTTON, MD

Gynecology Physician in DOVER FOXCROFT, Maine. 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
291
Medicare Part D claims · 96 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.598/100
▲ 11 pts above national avg 83.1 · [object Object]
What the federal data reveals: KYRSTEN SUTTON, MD is a Gynecology Physician ([object Object]) practicing in DOVER FOXCROFT, Maine with a Medicare Part D prescribing footprint of 291 claims across 96 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 94.598/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KYRSTEN SUTTON, MD reported a CMS MIPS final score of 94.598 out of 100, above the 83.1 national average, and filed 291 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KYRSTEN SUTTON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KYRSTEN SUTTON, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/19/2006

NPI 1730261991

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

291 1% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

94.598/100 11.498000000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Gynecology Physician compares to other specialties among Maine providers

Maine providers

Gynecology Physician share within Maine

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

Medicare quality performance — MIPS

KYRSTEN SUTTON, MD's 2023 MIPS final score plotted against the Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
94.598/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 94.598/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Gynecology Physician) — 94.598/100 vs national avg 83.1

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).

KYRSTEN SUTTON, MD is a Gynecology Physician provider practicing in DOVER FOXCROFT, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1730261991. 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.

KYRSTEN SUTTON, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 891 W MAIN ST STE 500, DOVER FOXCROFT, ME, 04426, with a listed phone of (207) 564-4470. NPI 1730261991 was issued on 10/19/2006. 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 291 prescription claims written by this provider, covering 96 Medicare beneficiaries and totaling roughly $22K in drug spend, split 12% brand-name and 88% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.598/100 for the 2023 performance year (Quality 83.7509), compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

891 W MAIN ST STE 500
DOVER FOXCROFT, ME 04426

Provider Details

NPI 1730261991
Specialty Gynecology Physician
Credentials MD
Gender Female
NPI Issued 10/19/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.598
Final Score
Avg: 83.1
83.7509
Quality
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KYRSTEN 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.

THE AROOSTOOK MEDICAL CENTER
PRESQUE ISLE, ME

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

Brand vs generic prescribing mix · Typical

KYRSTEN SUTTON, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 291 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.

291
Total Claims
$22K
Total Drug Cost
96
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
597
Total Day Supply
16,673
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$6K
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
64.9 years
Avg HCC Risk Score
0.87
Gender Split
100% female / 0% male
Age Distribution
<65: 33, 65-74: 41, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
123
Medroxyprogesterone Acetate
27
Clobetasol Propionate
20
Valacyclovir
Valacyclovir Hcl
18
Halobetasol Propionate
14

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

Gynecology Physician Overview

How KYRSTEN SUTTON, MD fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

KYRSTEN SUTTON, MD's 291 claims are below the specialty average of 295.

Nearby Gynecology Physician Providers in Maine

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

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

Frequently Asked Questions

What is KYRSTEN SUTTON, MD's specialty?
KYRSTEN SUTTON, MD specializes in Gynecology Physician and practices in DOVER FOXCROFT, Maine. Credentials: MD.
How much does KYRSTEN SUTTON, MD prescribe under Medicare Part D?
In 2023, KYRSTEN SUTTON, MD wrote 291 Medicare Part D claims totaling $22K in drug costs for 96 beneficiaries.
What is KYRSTEN SUTTON, MD's Medicare quality score?
KYRSTEN SUTTON, MD has a CMS MIPS Final Score of 94.598/100 (Quality: 83.7509). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KYRSTEN SUTTON, MD located?
KYRSTEN SUTTON, MD is located at 891 W MAIN ST STE 500, DOVER FOXCROFT, ME, 04426. Phone: (207) 564-4470.
What is KYRSTEN SUTTON, MD's NPI number?
KYRSTEN SUTTON, MD's National Provider Identifier (NPI) is 1730261991, issued on 10/19/2006.
Does KYRSTEN SUTTON, MD prescribe more brand-name or generic drugs?
KYRSTEN SUTTON, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $6K in brand drug costs.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does KYRSTEN SUTTON, MD prescribe most often?
Based on 2023 Medicare Part D data, KYRSTEN SUTTON, MD's most frequently prescribed drugs include Estradiol, Medroxyprogesterone Acetate, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KYRSTEN SUTTON, MD accept Medicare?
KYRSTEN SUTTON, MD appears in CMS Medicare data with 291 Part D claims and 96 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KYRSTEN SUTTON, MD's credentials?
KYRSTEN SUTTON, MD's NPI is 1730261991 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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