2026 NPPES data Dermatopathology Physician NPI 1043218225 MD
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MARGARET SUTTON, MD

Dermatopathology Physician in LINCOLN, Nebraska. 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
1K
Medicare Part D claims · 494 beneficiaries · Dermatopathology Physician avg: 650
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.45/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$206.82
12 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARGARET SUTTON, MD is a Dermatopathology Physician ([object Object]) practicing in LINCOLN, Nebraska with a Medicare Part D prescribing footprint of 1K claims across 494 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 97.45/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $206.82 across 12 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARGARET SUTTON, MD reported a CMS MIPS final score of 97.45 out of 100, above the 83.1 national average, and filed 1,253 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)

MARGARET 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).

MARGARET SUTTON, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/12/2005

NPI 1043218225

Primary specialty

Dermatopathology Physician

Niche

570 US NPIs in this specialty

Medicare Part D claims

1,253 93% vs specialty avg

2023 prescription claims

Specialty avg: 650

MIPS final score

97.45/100 14.350000000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Nebraska

How Dermatopathology Physician compares to other specialties among Nebraska providers

Nebraska providers

Dermatopathology Physician share within Nebraska

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

Medicare quality performance — MIPS

MARGARET SUTTON, MD's 2023 MIPS final score plotted against the Dermatopathology Physician national average

High performer (top quartile)
MIPS Final Score
97.45/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatopathology Physician) — 97.45/100 vs national avg 83.1

0%100%National avg83%97.5%
MIPS final score (Dermatopathology Physician) — 97.45/100 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).

MARGARET SUTTON, MD is a Dermatopathology Physician provider practicing in LINCOLN, Nebraska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1043218225. 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.

MARGARET SUTTON, MD appears in the CMS NPPES registry as a Dermatopathology Physician provider holding MD credentials at 7100 STEPHANIE LN STE 100, LINCOLN, NE, 68516, with a listed phone of (402) 484-9009. NPI 1043218225 was issued on 07/12/2005. 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 1,253 prescription claims written by this provider, covering 494 Medicare beneficiaries and totaling roughly $356K in drug spend, split 6% brand-name and 94% 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 97.45/100 for the 2023 performance year, compared with the national average of 83.1.

Dermatopathology Physician is a narrow specialty nationwide, with 570 enrolled providers across 48 states and an average of 650 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

7100 STEPHANIE LN STE 100
LINCOLN, NE 68516

Provider Details

NPI 1043218225
Specialty Dermatopathology Physician
Credentials MD
Gender Female
NPI Issued 07/12/2005

CMS Quality Score (MIPS)

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

97.45
Final Score
Avg: 83.1
97
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where MARGARET 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.

SUTTON SKIN AND EYE CLINIC PC
LINCOLN, NE

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 MARGARET SUTTON, MD. Source: openpaymentsdata.cms.gov.

Total received

$207

Largest payer

Galderma Laboratories, L.P.

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.

Brand vs generic prescribing mix · Generic-heavy

MARGARET SUTTON, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 1,253 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.

1,253
Total Claims
$356K
Total Drug Cost
494
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,466
Total Day Supply
36,760
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$311K
Generic Drug Cost
$45K
Antibiotic Claims
121

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.01
Gender Split
62% female / 38% male
Age Distribution
<65: 22, 65-74: 259, 75-84: 172, 85+: 41

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Triamcinolone Acetonide
185
Ketoconazole
100
Betamethasone Dipropionate
83
Fluorouracil
66
Clobetasol Propionate
55
Doxycycline Hyclate
48
Minocycline Hcl
48
Valacyclovir
Valacyclovir Hcl
43
Mupirocin
37
Hydrocortisone
35

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

Dermatopathology Physician Overview

How MARGARET SUTTON, MD fits within the Dermatopathology Physician landscape nationally.

570
Dermatopathology Physician Providers in US
48
States with Dermatopathology Physician
650
Avg Claims per Provider

MARGARET SUTTON, MD's 1,253 claims are above the specialty average of 650.

Nearby Dermatopathology Physician Providers in Nebraska

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

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

Frequently Asked Questions

What is MARGARET SUTTON, MD's specialty?
MARGARET SUTTON, MD specializes in Dermatopathology Physician and practices in LINCOLN, Nebraska. Credentials: MD.
How much does MARGARET SUTTON, MD prescribe under Medicare Part D?
In 2023, MARGARET SUTTON, MD wrote 1,253 Medicare Part D claims totaling $356K in drug costs for 494 beneficiaries.
What is MARGARET SUTTON, MD's Medicare quality score?
MARGARET SUTTON, MD has a CMS MIPS Final Score of 97.45/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARGARET SUTTON, MD located?
MARGARET SUTTON, MD is located at 7100 STEPHANIE LN STE 100, LINCOLN, NE, 68516. Phone: (402) 484-9009.
What is MARGARET SUTTON, MD's NPI number?
MARGARET SUTTON, MD's National Provider Identifier (NPI) is 1043218225, issued on 07/12/2005.
Does MARGARET SUTTON, MD prescribe more brand-name or generic drugs?
MARGARET SUTTON, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $311K in brand drug costs.
How many Dermatopathology Physician providers are there in the US?
There are 570 Dermatopathology Physician providers across 48 states in the US. The average Dermatopathology Physician provider writes 650 Medicare Part D claims per year.
What drugs does MARGARET SUTTON, MD prescribe most often?
Based on 2023 Medicare Part D data, MARGARET SUTTON, MD's most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Betamethasone Dipropionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARGARET SUTTON, MD accept Medicare?
MARGARET SUTTON, MD appears in CMS Medicare data with 1,253 Part D claims and 494 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARGARET SUTTON, MD's credentials?
MARGARET SUTTON, MD's NPI is 1043218225 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