Physician

Gregory P Sutton, MD

According to 2025 Medicare claims, Gregory Sutton, MD (NPI: 1568409373) practices gynecologist/oncologist in the Bay City, MI market, with the plurality of this provider's patient population coming from Bay, MI. This provider's primary affiliated billing organization is COVENANT MEDICAL CENTER, INC (NPI: 1619412376; TIN: 383369438) and primary practice location at 48604-9515. Sutton is affiliated with the Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Sutton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 120 traditional Medicare patients, billed 254 HCPCS/CPT codes, and received $37,416 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 808 prescription claims across 163 beneficiaries totaling $640,329 in drug costs, led by Xarelto (Rivaroxaban). Open Payments data shows 3 records totaling $86. 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 started with an early spike, then settled into a lower baseline, moving from $204,311 to $37,416. In contrast, Part D prescription costs have risen steadily, from $25,298 to $640,329. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$102K$204K2015 Medicare payment: $204,311 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $12,194 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $19,870 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $43,126 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $49,477 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $31,973 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $43,613 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $42,219 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $39,380 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $37,416 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201520914,226$204,311
20164678$12,194
201750120$19,870
201894259$43,126
2019114284$49,477
2020102231$31,973
2021107280$43,613
2022105281$42,219
2023119273$39,380
2024120254$37,416

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$394K$788K2015 Drug cost: $25,298 (USD; Tot_Drug_Cst)2016 Drug cost: $2,024 (USD; Tot_Drug_Cst)2017 Drug cost: $46,806 (USD; Tot_Drug_Cst)2018 Drug cost: $5,340 (USD; Tot_Drug_Cst)2019 Drug cost: $129,428 (USD; Tot_Drug_Cst)2020 Drug cost: $205,565 (USD; Tot_Drug_Cst)2021 Drug cost: $261,028 (USD; Tot_Drug_Cst)2022 Drug cost: $483,016 (USD; Tot_Drug_Cst)2023 Drug cost: $788,240 (USD; Tot_Drug_Cst)2024 Drug cost: $640,329 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201565176$25,298
20162366$2,024
201735104$46,806
201866241$5,340
201995438$129,428
2020105513$205,565
2021104508$261,028
2022122630$483,016
2023141801$788,240
2024163808$640,329

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more2727$151
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1336$96
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more83121$60

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XareltoRivaroxaban20546$10,028
AnastrozoleAnastrozole584,680$1,392
Prochlorperazine MaleateProchlorperazine Maleate57719$946
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl3142$575
Ondansetron HclOndansetron Hcl781,132$563

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$86GlaxoSmithKline, LLC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Gregory P. Sutton, MD?

Tedicare shows public-source Medicare data for Gregory P. Sutton, MD (NPI 1568409373), 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 Gregory P. Sutton, MD have ACO affiliation data?

Gregory P. Sutton, MD is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Gregory P. Sutton, MD?

Gregory P. Sutton, MD is linked to COVENANT MEDICAL CENTER, INC (billing NPI 1619412376) in the available physician profile data.

Does Gregory P. Sutton, MD have Open Payments data?

Gregory P. Sutton, MD has 3 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.