NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1376645580 DO
Verify on CMS → Michael Sutton, DO
Sports Medicine (Orthopaedic Surgery) Physician in Dillon, South Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,681 in Sports Medicine (Orthopaedic Surgery) 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
170
Medicare Part D claims · 12 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michael Sutton, DO filed 170 Medicare Part D claims in 2023 as a Sports Medicine (Orthopaedic Surgery) Physician in Dillon, South Carolina, prescribing 89% generic.
- 170
- Part D claims, 2023
- 89%
- generic prescribing
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.
Michael Sutton, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
170 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
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Board-eligible specialty (heuristic, not verified)
Michael Sutton, DO practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Michael Sutton, DO?
Quality data not reportedPrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
170 39% vs specialty avg
Specialty distribution in South Carolina
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among South Carolina providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Orthopaedic Surgery) Physician. Verify directly:
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).
Michael Sutton, DO appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding DO credentials at 705 N 8TH AVE, Dillon, SC, 29536, with a listed phone of (843) 487-1588. NPI 1376645580 was issued on 09/01/2006.
Medicare Part D records for calendar year 2023 show 170 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $5K in drug spend, split 11% brand-name and 89% generic by claim count.
Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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
Provider Details
| NPI | 1376645580 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 09/01/2006 |
Brand vs generic prescribing mix · Typical
Michael Sutton, DO - brand share 11.0%
Sports Medicine (Orthopaedic Surgery) Physician average
11% brand-name claims vs 89% generic, on 170 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.
170
Total Claims
$5K
Total Drug Cost
12
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 170
- Total Day Supply
- 4,080
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 20
Patient Demographics
- Average Patient Age
- 79.3 years
- Avg HCC Risk Score
- 1.64
- Age Distribution
- <65: 0, 65-74: N/A, 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.
What Michael Sutton, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Donepezil Hcl
Donepezil Hcl
16 claims
- Potassium Chloride
Potassium Chloride
16 claims
- Levothyroxine Sodium
Levothyroxine Sodium
15 claims
- Buspirone Hcl
Buspirone Hcl
14 claims
- Glimepiride
Glimepiride
13 claims
- Nitrofurantoin
Nitrofurantoin
13 claims
| Drug | Claims |
|---|---|
| Donepezil Hcl | 16 |
| Potassium Chloride | 16 |
| Levothyroxine Sodium | 15 |
| Buspirone Hcl | 14 |
| Glimepiride | 13 |
| Nitrofurantoin Nitrofurantoin Macrocrystal | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in SC →
All providers in South Carolina →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Michael Sutton, DO fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider
Michael Sutton, DO's 170 claims are below the specialty average of 278.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in South Carolina
Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as Sutton.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the South Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Orthopaedic Surgery) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Explore South Carolina
Frequently Asked Questions
What is Michael Sutton, DO's specialty? ▼
Michael Sutton, DO specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Dillon, South Carolina. Credentials: DO.
How much does Michael Sutton, DO prescribe under Medicare Part D? ▼
In 2023, Michael Sutton, DO wrote 170 Medicare Part D claims totaling $5K in drug costs for 12 beneficiaries.
Where is Michael Sutton, DO located? ▼
Michael Sutton, DO is located at 705 N 8TH AVE, Dillon, SC, 29536. Phone: (843) 487-1588.
What is Michael Sutton, DO's NPI number? ▼
Michael Sutton, DO's National Provider Identifier (NPI) is 1376645580, issued on 09/01/2006.
Does Michael Sutton, DO prescribe more brand-name or generic drugs? ▼
Michael Sutton, DO's prescribing is 11% brand-name and 89% generic drugs by claim count, with $2K in brand drug costs.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does Michael Sutton, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Sutton, DO's most frequently prescribed drugs include Donepezil Hcl, Potassium Chloride, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Sutton, DO accept Medicare? ▼
Michael Sutton, DO appears in CMS Medicare data with 170 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Sutton, DO's credentials? ▼
Michael Sutton, DO's NPI is 1376645580 with credentials DO. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.