Physician

James David Sutton, M.D.

According to 2025 Medicare claims, James Sutton, M.D. (NPI: 1336252774) practices ophthalmology in the Gulfport-Biloxi, MS market, with the plurality of this provider's patient population coming from Jackson, MS. This provider's primary affiliated billing organization is MISSISSIPPI EYE ASSOCIATES (NPI: 1033428990; TIN: 64-0790748) and primary practice location at 39564-5702.

Sutton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,977 traditional Medicare patients, billed 4,499 HCPCS/CPT codes, and received $331,833 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 4,105 prescription claims across 1,101 beneficiaries totaling $233,280 in drug costs, led by Restasis (Cyclosporine). DME data shows 174 claims. Open Payments data shows 12 records totaling $508. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $133,651 to $233,280. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,569	3,189	$304,494
2016	1,664	3,402	$342,211
2017	1,736	3,348	$289,623
2018	1,999	4,678	$397,248
2019	2,295	5,798	$541,705
2020	1,903	4,264	$344,241
2021	1,912	4,306	$370,640
2022	1,733	3,726	$343,064
2023	1,953	4,389	$379,426
2024	1,977	4,499	$331,833

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	607	1,959	$133,651
2016	633	2,007	$141,711
2017	609	1,895	$159,252
2018	810	2,360	$178,800
2019	985	3,334	$253,616
2020	827	2,802	$247,207
2021	833	2,839	$226,889
2022	863	3,065	$214,690
2023	959	3,489	$235,794
2024	1,101	4,105	$233,280

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	93	94	$5,266
2016	170	173	$9,147
2017	68	68	$3,457
2018	100	100	$5,827
2019	262	267	$14,338
2020	126	126	$6,840
2021	124	124	$6,489
2022	202	206	$12,086
2023	217	220	$11,377
2024	172	174	$9,094

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
92004	New patient complete exam of visual system	351	351	$74
92014	Established patient complete exam of visual system	1,384	1,424	$65
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	385	604	$51
92134	Imaging of retina	692	748	$22
76519	Ultrasound scan to determine eye length and lens power	206	521	$19

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	50	2,940	$59,740
Tobramycin-Dexamethasone	Tobramycin/Dexamethasone	724	12,126	$23,062
Prednisolone Acetate	Prednisolone Acetate	718	18,853	$19,710
Lumigan	Bimatoprost	44	2,410	$19,437
Moxifloxacin	Moxifloxacin Hcl	704	9,991	$13,052

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
V2020	Frames, purchases	N	69	70	$4,435
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	N	43	43	$2,608
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	N	13	13	$577
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	N	12	12	$541
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	N	11	12	$499

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$508	Alcon Vision LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James David Sutton, M.D.?

Tedicare shows public-source Medicare data for James David Sutton, M.D. (NPI 1336252774), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James David Sutton, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James David Sutton, M.D.?

James David Sutton, M.D. is linked to MISSISSIPPI EYE ASSOCIATES (billing NPI 1033428990) in the available physician profile data.

Does James David Sutton, M.D. have Open Payments data?

James David Sutton, M.D. has 12 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.