NPI registry status
Active
2026 NPPES data Urology Physician NPI 1699769935 MD
Verify on CMS → Mark Sutton, MD
Urology Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 970 beneficiaries · Urology Physician avg: 1K
MIPS score
99.2/100
▲ 16 pts above national avg 83.5 · Exceptional
Industry payments
$5.7K
127 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Mark Sutton, MD reported a CMS MIPS final score of 99.2/100 - above the 83.5 national average - and filed 3,916 Medicare Part D claims in 2024.
- 99.2/100
- MIPS score · +16 vs avg
- 4K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥91st
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Mark Sutton, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1699769935), first enumerated 09/01/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,916 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 99.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$5.7K in reported industry payments (127 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Mark Sutton, MD's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1699769935 · Urology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1699769935
- ENUM-LEGACY 2005
- TAX-MID 14K Urology Physician
- MIPS-ELITE 99.2/100
- RX-MID 3,916
- BOOK-LIGHT 906 in Texas
- PHOTO-FINISH Arturo Balandra, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Sutton · this pr…
Sutton · this provider
99.2 MIPS pts
- Byron Blasko, AR…
Byron Blasko, ARNP
99.2 MIPS pts
- Arturo Balandra,…
Arturo Balandra, MD
99.2 MIPS pts
- Gary Bellman, MD…
Gary Bellman, MD
99.2 MIPS pts
- Jeremy Bergamo, …
Jeremy Bergamo, MD
99.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Mark Sutton, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
99 ≥ 91st percentile 91% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Mark Sutton, MD sits
This provider among urology physician peers
Across the 4,091 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Sutton, MD writes more Part D claims than 95% of them and scores higher on MIPS quality than 86% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one urology physician peer from a representative sample of 60; the gold marker is Mark Sutton, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mark 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).
What does the federal data show about Mark Sutton, MD?
High performer (top quartile)Primary specialty
Urology Physician
Medicare Part D claims
3,916 189% vs specialty avg
MIPS final score
99.2/100 15.7 pts vs avg
Specialty distribution in Texas
How Urology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Mark Sutton, MD's 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 99.2/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1699769935 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/01/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
99.15
Final Score
Measured-score avg: 83.5
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Mark 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.
Houston Metro Urology
Houston, TX
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 Mark Sutton, MD. Source: openpaymentsdata.cms.gov.
Total received
$5.7K
Largest payer
Edap Technomed 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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Mark Sutton, MD. To verify Mark Sutton, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
3,916
Total Claims
$1.2M
Total Drug Cost
970
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,814.633
- Total Day Supply
- 245,653
- Generic Drug Cost
- $131K
- Opioid Claims
- 87 (2.2% rate)
- Antibiotic Claims
- 792
Patient Demographics
- Average Patient Age
- 76.3 years
- Avg HCC Risk Score
- 1.33
- Gender Split
- 24% female / 76% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mark Sutton, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Tamsulosin Hcl
Tamsulosin Hcl
1,025 claims
- Finasteride
Finasteride
508 claims
- Sulfamethoxazole-T… 179
Sulfamethoxazole-Trimethoprim
179 claims
- Gemtesa 176
Gemtesa
176 claims
- Myrbetriq 152
Myrbetriq
152 claims
- Amoxicillin-Clavul… 145
Amoxicillin-Clavulanate Potass
145 claims
- Nitrofurantoin Mon… 136
Nitrofurantoin Mono-Macro
136 claims
- Oxybutynin Chlorid… 132
Oxybutynin Chloride Er
132 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 1,025 |
| Finasteride | 508 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 179 |
| Gemtesa Vibegron | 176 |
| Myrbetriq Mirabegron | 152 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 145 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 136 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 132 |
| Potassium Citrate Er Potassium Citrate | 102 |
| Ciprofloxacin Hcl | 94 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Mark Sutton, MD fits within the Urology Physician landscape nationally.
13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider
Mark Sutton, MD's 3,916 claims are above the specialty average of 1,354.
Nationwide Urology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sutton, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (99.2 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Urology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Sutton.
One of 906 Urology Physician providers enrolled in Texas, 5 are shown here.
Dr. Scott Aarons
MD
Baytown, TX
Dr. Harrison Abrahams
MD
Arlington, TX
Dr. Sujeet Acharya
MD
Dallas, TX
Dr. Desmond Adamu
M.D.
McAllen, TX
Dr. Achankeng Afiadata
M.D.
Lubbock, TX
Compare Urology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mark Sutton, MD's specialty? ▼
Mark Sutton, MD specializes in Urology Physician and practices in Houston, Texas. Credentials: MD.
How much does Mark Sutton, MD prescribe under Medicare Part D? ▼
In 2024, Mark Sutton, MD wrote 3,916 Medicare Part D claims totaling $1.2M in drug costs for 970 beneficiaries.
What is Mark Sutton, MD's Medicare quality score? ▼
Mark Sutton, MD has a CMS MIPS Final Score of 99.2/100. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mark Sutton, MD located? ▼
Mark Sutton, MD is located at 6560 FANNIN ST STE 1440, Houston, TX, 77030. Phone: (713) 790-9700.
What is Mark Sutton, MD's NPI number? ▼
Mark Sutton, MD's National Provider Identifier (NPI) is 1699769935, issued on 09/01/2005.
Does Mark Sutton, MD prescribe opioids? ▼
Yes, Mark Sutton, MD had 87 opioid claims in 2024 with an opioid prescribing rate of 2.2%.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does Mark Sutton, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Mark Sutton, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Sulfamethoxazole-Trimethoprim. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Sutton, MD accept Medicare? ▼
Mark Sutton, MD appears in CMS Medicare data with 3,916 Part D claims and 970 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Sutton, MD's credentials? ▼
Mark Sutton, MD's NPI is 1699769935 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.