Douglas Craig Sutton, MD - Medicare Orthopedic Surgery in Huntingdon Valley, PA

Douglas Craig Sutton, MD is a medicare enrolled "Orthopaedic Surgery" physician in Huntingdon Valley, Pennsylvania. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1989 and has 35 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Aria Health Orthopaedics, Rehabclinics Spt Inc and his current practice location is 727 Welsh Rd, Suite 103, Huntingdon Valley, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 947-7550.

Douglas Craig Sutton is licensed to practice in Pennsylvania (license number MD045534L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992790513.

Contact Information

Douglas Craig Sutton, MD
727 Welsh Rd, Suite 103,
Huntingdon Valley, PA 19006-6357
(215) 947-7550
Not Available

Map and Direction




Physician's Profile

Full NameDouglas Craig Sutton
GenderMale
SpecialityOrthopedic Surgery
Experience35 Years
Location727 Welsh Rd, Huntingdon Valley, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Craig Sutton attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1989
  NPI Data:
  • NPI Number: 1992790513
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 08/20/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1658410071
  • Enrollment ID: I20091124000655

Medical Identifiers

Medical identifiers for Douglas Craig Sutton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992790513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD045534L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary Medical CenterLanghorne, PAHospital
Jefferson HeathPhiladelphia, PAHospital
Doylestown HospitalDoylestown, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aria Health Orthopaedics236569525120
Rehabclinics Spt Inc7113834102302

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas Craig Sutton allows following entities to bill medicare on his behalf.
Entity NameAria Health Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750949806
PECOS PAC ID: 3577467018
Enrollment ID: O20040224000045
Entity NameAria Health Orthopaedics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376895342
PECOS PAC ID: 2365695251
Enrollment ID: O20121228000161

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Craig Sutton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas Craig Sutton, MD
727 Welsh Rd, Suite 103,
Huntingdon Valley, PA 19006-6357

Ph: (215) 947-7550
Douglas Craig Sutton, MD
727 Welsh Rd, Suite 103,
Huntingdon Valley, PA 19006-6357

Ph: (215) 947-7550

Reviews and Comments


Orthopaedic Surgery Doctors in Huntingdon Valley, PA

Dr. Kathlene White, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1928 Old Huntingdon Pike, Huntingdon Valley, PA 19006
Phone: 215-947-4874    Fax: 215-947-6901
Marc Manzione, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 727 Welsh Rd, Suite 103, Huntingdon Valley, PA 19006
Phone: 215-947-7550    
Dr. Andrew Newman, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 232 Coachlight Terrace, Huntingdon Valley, PA 19006
Phone: 215-947-8715    Fax: 215-947-0294
Seth David Krum, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 727 Welsh Rd Ste 103, Huntingdon Valley, PA 19006
Phone: 215-947-7550    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.