NPI registry status
Active
2026 NPPES data Allergy & Immunology Physician NPI 1649249269 MD
Verify on CMS → Steven Sutton, MD
Allergy & Immunology Physician in Cincinnati, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,394 in Allergy & Immunology 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
646
Medicare Part D claims · 154 beneficiaries · Allergy & Immunology Physician avg: 764
Generic prescribing
62%
generic claims · 38% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$35.2
2 payments · CMS Open Payments (Sunshine Act)
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
Steven Sutton, MD reported a CMS MIPS final score of 90.4/100 - above the 83.1 national average - and filed 646 Medicare Part D claims in 2023.
- 90.4/100
- MIPS score · +7 vs avg
- 646
- Part D claims, 2023
- 62%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Steven Sutton, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Steven Sutton, MD sits
This provider among allergy & immunology physician peers
Across the 740 allergy & immunology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Steven Sutton, MD writes more Part D claims than 41% of them and scores higher on MIPS quality than 70% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one allergy & immunology physician peer from a representative sample of 60; the gold marker is Steven Sutton, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Steven 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 Steven Sutton, MD?
High performer (top quartile)Primary specialty
Allergy & Immunology Physician
Medicare Part D claims
646 15% vs specialty avg
MIPS final score
90.4/100 7.3 pts vs avg
Specialty distribution in Ohio
How Allergy & Immunology Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Steven Sutton, MD's 2023 MIPS final score plotted against the Allergy & Immunology Physician national average
- MIPS Final Score
- 90.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Allergy & Immunology Physician) - 90.4/100 vs national avg 83.1
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).
Steven Sutton, MD appears in the CMS NPPES registry as an Allergy & Immunology Physician provider holding MD credentials at 10597 MONTGOMERY RD, Cincinnati, OH, 45242, with a listed phone of (513) 793-6861. NPI 1649249269 was issued on 03/16/2006.
Medicare Part D records for calendar year 2023 show 646 prescription claims written by this provider, covering 154 Medicare beneficiaries and totaling roughly $141K in drug spend, split 38% brand-name and 62% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4/100 for the 2023 performance year (Quality 80.8), compared with the national average of 83.1.
Allergy & Immunology Physician is a narrow specialty nationwide, with 3,394 enrolled providers across 52 states and an average of 764 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 | 1649249269 |
|---|---|
| Specialty | Allergy & Immunology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/16/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Steven 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.
Allergy And Asthma Associates Inc
Montgomery, OH
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 Steven Sutton, MD. Source: openpaymentsdata.cms.gov.
Total received
$35
Largest payer
GlaxoSmithKline, LLC.
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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Steven Sutton, MD. To verify Steven Sutton, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Steven Sutton, MD - brand share 38.0%
Allergy & Immunology Physician average
38% brand-name claims vs 62% generic, on 646 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.
646
Total Claims
$141K
Total Drug Cost
154
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,086
- Total Day Supply
- 30,893
- Brand vs Generic
- 38% brand / 62% generic
- Brand Drug Cost
- $128K
- Generic Drug Cost
- $13K
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 0.77
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Steven Sutton, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Montelukast Sodium
Montelukast Sodium
120 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
68 claims
- Azelastine Hcl
Azelastine Hcl
58 claims
- Symbicort
Symbicort
50 claims
- Fluticasone Propio… 33
Fluticasone Propionate
33 claims
- Levocetirizine Dih… 33
Levocetirizine Dihydrochloride
33 claims
- Flovent Hfa 31
Flovent Hfa
31 claims
- Ipratropium Bromide 28
Ipratropium Bromide
28 claims
| Drug | Claims |
|---|---|
| Montelukast Sodium | 120 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 68 |
| Azelastine Hcl | 58 |
| Symbicort Budesonide/Formoterol Fumarate | 50 |
| Fluticasone Propionate | 33 |
| Levocetirizine Dihydrochloride | 33 |
| Flovent Hfa Fluticasone Propionate | 31 |
| Ipratropium Bromide | 28 |
| Arnuity Ellipta Fluticasone Furoate | 22 |
| Breo Ellipta Fluticasone/Vilanterol | 22 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Allergy & Immunology Physician Overview
How Steven Sutton, MD fits within the Allergy & Immunology Physician landscape nationally.
3,394
Allergy & Immunology Physician Providers in US
52
States with Allergy & Immunology Physician
764
Avg Claims per Provider
Steven Sutton, MD's 646 claims are below the specialty average of 764.
Nearby Allergy & Immunology Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Sutton.
Dr. Susan Abouhassan
MD
Cincinnati, OH
Dr. Joseph Alexander
MD
Fairlawn, OH
Dr. Danielle Arnold
M.D.
Cincinnati, OH
Dr. Scott Bagenstose
MD
Columbus, OH
Dr. Robert Baldwin
MD
Hilliard, OH
Compare Allergy & Immunology Physician nationally: see state-by-state distribution →
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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Allergy & Immunology 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.
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Frequently Asked Questions
What is Steven Sutton, MD's specialty? ▼
Steven Sutton, MD specializes in Allergy & Immunology Physician and practices in Cincinnati, Ohio. Credentials: MD.
How much does Steven Sutton, MD prescribe under Medicare Part D? ▼
In 2023, Steven Sutton, MD wrote 646 Medicare Part D claims totaling $141K in drug costs for 154 beneficiaries.
What is Steven Sutton, MD's Medicare quality score? ▼
Steven Sutton, MD has a CMS MIPS Final Score of 90.4/100 (Quality: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Steven Sutton, MD located? ▼
Steven Sutton, MD is located at 10597 MONTGOMERY RD, Cincinnati, OH, 45242. Phone: (513) 793-6861.
What is Steven Sutton, MD's NPI number? ▼
Steven Sutton, MD's National Provider Identifier (NPI) is 1649249269, issued on 03/16/2006.
Does Steven Sutton, MD prescribe more brand-name or generic drugs? ▼
Steven Sutton, MD's prescribing is 38% brand-name and 62% generic drugs by claim count, with $128K in brand drug costs.
How many Allergy & Immunology Physician providers are there in the US? ▼
There are 3,394 Allergy & Immunology Physician providers across 52 states in the US. The average Allergy & Immunology Physician provider writes 764 Medicare Part D claims per year.
What drugs does Steven Sutton, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Steven Sutton, MD's most frequently prescribed drugs include Montelukast Sodium, Albuterol Sulfate Hfa, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Steven Sutton, MD accept Medicare? ▼
Steven Sutton, MD appears in CMS Medicare data with 646 Part D claims and 154 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Steven Sutton, MD's credentials? ▼
Steven Sutton, MD's NPI is 1649249269 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.