NPPES file of Aug 9, 2026

Nicole J. Sutton, MD

Pediatric Cardiology Physician · Bronx, NY

Nicole J. Sutton, MD is a pediatric cardiology physician with a practice address in Bronx, New York, and NPI 1659457505, issued on Oct 31, 2006. Check the license (New York 217408, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1659457505
Name
Nicole J. Sutton
Credential
MD
Primary taxonomy
Pediatric Cardiology Physician 2080P0202X
License number
217408 NY
Self-reported in NPPES; status is on the state search
Practice location
3415 Bainbridge Ave, Bronx, NY 10467
Phone
(718) 741-2343
Enumerated
Oct 31, 2006
Record last updated
Dec 19, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(718) 920-4351
Medicare enrollment
Enrolled (PECOS I20051117000978); may accept Medicare assignment
Medical or professional school
New York University Medical College - Nlg, 1998
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3415 Bainbridge Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Amy Abraham, MDPediatrics Physician1407256878
  2. Henry Adam, MDPediatrics Physician1164592366
  3. Kelly Adams, D.O.Pediatric Pulmonology Physician1073825121
  4. Manpreet Ahluwalia, M.D.Pediatric Hematology & Oncology Physician1477751147
  5. Omotola Akintola, MD, MPHStudent in an Organized Health Care Education/Training Program1043063498
  6. Margaret Aldrich, M.D.Pediatric Infectious Diseases Physician1205152097

Verify Nicole J. Sutton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 217408
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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84% fewer Medicare Part D claims than the average pediatric cardiology physician in 2024

12 Medicare Part D claims, against an average of 74 among the 518 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Nicole Sutton12
  2. Specialty average74

Most prescribed

  1. Bosentan11 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 practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $2,104.24

15 payments; by number, the most common kind was travel and lodging; the largest payer was Siemens Medical Solutions USA, Inc. The 1,156 providers of this specialty with any payment received $2,864.57 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Nicole Sutton$2,104.24
  2. Specialty average$2,864.57

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

One hospital affiliation

  1. Montefiore Medical CenterBronx, NY · 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.

Nicole J. Sutton among 246 pediatric cardiology physician records in New York

Nicole J. Sutton, MD is one of 246 pediatric cardiology physician records with a practice address in New York. 67% 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, 54% newer
  • In a Medicare fileYes · 67% of these records are
  • In the CMS Doctors and Clinicians fileYes · 54% of these records are
  • Graduated1998 · median 2004 among the 134 with a school on file
  • Record last updated2016 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0202X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Cardiology Physician providers in New York

There are 246 pediatric cardiology physician records in New York.

The 8 pediatric cardiology physician records with the nearest ZIP codes

  1. Maryanne Chrisant, MDBronx, NY 104671568476455
  2. Bradley Clark, MDBronx, NY 104671316107642
  3. Marise D'Souza, M.D.Bronx, NY 104671992937098
  4. Manoj Gupta, M.D.Bronx, NY 104671780817460
  5. Daphne Hsu, MDBronx, NY 104671689653321
  6. Emily JacknessBronx, NY 104671306813415
  7. Leif Lovig, M.D.Bronx, NY 104671760828180
  8. Dimitrios Papavassiliou, M.D.Bronx, NY 104671386615250

Common questions

What is Nicole J. Sutton, MD's NPI number?

Nicole J. Sutton, MD's National Provider Identifier (NPI) is 1659457505, issued on Oct 31, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Nicole J. Sutton, MD located?

The NPPES record lists a practice address at 3415 Bainbridge Ave, Bronx, NY, 10467. Phone: (718) 741-2343. Providers update this record themselves, so call before visiting.

How can I verify Nicole J. Sutton, MD's license?

NPPES lists New York license number 217408, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nicole J. Sutton, MD prescribe under Medicare Part D?

In 2024, Nicole J. Sutton, MD had 12 Medicare Part D claims; the average among pediatric cardiology physician prescribers was 74. Part D covers Medicare prescriptions only.

What is Nicole J. Sutton, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. 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.