Nicholas J Sutton , NP
Nurse Practitioner • Columbia, IL
1000 Eleven S Ste 4a
Columbia, IL 622361077
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Nicholas Sutton is listed in NPPES under Nurse Practitioner.
-
NPI assigned on November 11, 2015; this date does not establish years in practice.
-
Published CMS data list 630 Original Medicare Part B services in 2017.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017. Published rows only; this is not a quality measure.
-
Published Part B service records, 2017:
- 99213 — Established patient outpatient office visit: 374 service units.
- 99214 — Established patient outpatient office visit: 70 service units.
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 52 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2016 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2017). CPT notice
See all 7 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 1,128 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl) — 136 prescription fills, including refills.
- Testosterone Cypionate — 58 prescription fills, including refills.
- Lisinopril — 50 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 45 records in the table · Guide: How to read Medicare Part D prescriber data
-
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: 259. Middle half: 80 to 930.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part D prescriptions went from 415 in 2020 to 1,128 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
1000 Eleven S Ste 4a
Columbia, IL 622361077
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Edwardsville, IL; Granite City, IL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Ssm Medical Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Vanderbilt University School Of Medicine
2015
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $36,312 in 2017
The total amount Medicare approved for these services in 2017. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017.
Paid by Medicare
About $25,542 in 2017
The part of the Medicare-allowed amount that Medicare itself paid in 2017, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017.
30-day fills
1,319 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$188,133 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $245.72 across 13 records.
By nature of payment
- Food and Beverage: $245.72 across 13 records.
Reporting-company totals (3 largest of 9)
- Indivior Inc.: $39.22 across 2 records.
- Otsuka America Pharmaceutical, Inc.: $38.54 across 2 records.
- Janssen Pharmaceuticals, Inc: $34.93 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Nicholas Sutton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Nicholas Sutton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Columbia and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: 259. Middle half: 80 to 930.
Too few clinicians listed under Nurse Practitioner in Columbia have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: $10,867. Middle half: $976 to $113,945.
Too few clinicians listed under Nurse Practitioner in Columbia have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Nicholas Sutton are from 2017.
6 active clinicians are listed under Nurse Practitioner with a practice address in Columbia, IL (4,894 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
CMS data for Medicare Part B services are available for 2017 only.
-
Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2017 only.
-
Paid by Medicare
CMS data for Medicare payment amount are available for 2017 only.
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 172% from 415 in 2020 to 1,128 in 2024.
- 2020: 415
- 2021: 542
- 2022: 801
- 2023: 1,105
- 2024: 1,128
-
30-day fills
30-day fills increased 174% from 481 in 2020 to 1,319 in 2024.
- 2020: 481
- 2021: 692
- 2022: 1,015
- 2023: 1,273
- 2024: 1,319
-
Part D drug cost
Part D drug cost increased 1559% from $11,340 in 2020 to $188,133 in 2024.
- 2020: $11,340
- 2021: $29,426
- 2022: $64,130
- 2023: $136,362
- 2024: $188,133
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $91.15 in 2021 to $245.72 in 2025.
- 2021: $91.15
- 2023: $15.57
- 2024: $308.62
- 2025: $245.72
Sources: CMS Medicare Physician & Other Practitioners (2017), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 13 records totaling $245.72.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $24.69 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
|
INGREZZA | General | $22.95 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $20.43 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
INVEGA SUSTENNA | General | $19.80 |
| Braeburn Inc. |
Food and Beverage
In-kind items and services
|
BRIXADI | General | $19.80 |
| Indivior Inc. |
Food and Beverage
In-kind items and services
|
SUBLOCADE | General | $19.66 |
| Indivior Inc. |
Food and Beverage
In-kind items and services
|
SUBLOCADE | General | $19.56 |
| Alkermes, Inc. |
Food and Beverage
In-kind items and services
|
VIVITROL | General | $18.62 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
ABILIFY ASIMTUFII | General | $18.11 |
| Collegium Pharmaceutical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Jornay PM | General | $17.30 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
INVEGA SUSTENNA | General | $15.13 |
| Braeburn Inc. |
Food and Beverage
In-kind items and services
|
BRIXADI | General | $15.03 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
|
AUSTEDO XR | General | $14.64 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
374 | 273 | $96.00 | $60.50 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
70 | 56 | $144.00 | $89.23 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
52 | 14 | $10.00 | $1.85 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
50 | 32 | $54.00 | $16.29 |
|
99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
|
42 | 42 | $120.00 | $61.94 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
25 | 25 | $258.00 | $95.33 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
17 | 17 | $174.00 | $90.82 |
Source: CMS Part B by Provider and Service, 2017; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 136 | 3,716 | $30,095.29 | 37 |
| Testosterone Cypionate | Testosterone Cypionate | 58 | 553 | $1,295.01 | — |
| Lisinopril | Lisinopril | 50 | 1,635 | $217.10 | — |
| Atorvastatin Calcium | Atorvastatin Calcium | 50 | 1,936 | $396.23 | 11 |
| Metformin Hcl | Metformin Hcl | 50 | 1,975 | $349.23 | — |
| Amlodipine Besylate | Amlodipine Besylate | 45 | 1,634 | $175.22 | — |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 44 | 1,325 | $1,288.72 | 13 |
| Omeprazole | Omeprazole | 39 | 1,624 | $239.41 | — |
| Pregabalin | Pregabalin | 32 | 894 | $598.48 | — |
| Fluticasone Propionate | Fluticasone Propionate | 30 | 1,710 | $526.80 | — |
| Gabapentin | Gabapentin | 29 | 848 | $430.26 | — |
| Januvia | Sitagliptin Phosphate | 24 | 1,058 | $18,966.25 | — |
| Trulicity | Dulaglutide | 24 | 756 | $26,918.93 | — |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 23 | 650 | $87.83 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 23 | 842 | $270.90 | — |
| Simvastatin | Simvastatin | 22 | 682 | $107.27 | — |
| Glipizide | Glipizide | 22 | 619 | $133.84 | — |
| Meloxicam | Meloxicam | 21 | 630 | $71.60 | — |
| Diclofenac Sodium | Diclofenac Sodium | 21 | 630 | $242.25 | — |
| Metoprolol Tartrate | Metoprolol Tartrate | 20 | 735 | $198.83 | — |
| Ibuprofen | Ibuprofen | 20 | 670 | $300.50 | — |
| Linzess | Linaclotide | 19 | 570 | $10,525.40 | — |
| Vivitrol | Naltrexone Microspheres | 18 | 504 | $30,249.90 | — |
| Farxiga | Dapagliflozin Propanediol | 18 | 515 | $10,205.54 | — |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 18 | 540 | $2,223.76 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-04-23NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20170508002465
MO
2769784024
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ssm Medical Group Inc
9759 Manchester Rd, Saint Louis, MO 631191346
Phone: 3147814922
Ssm Medical Group Inc
1000 Eleven S, Columbia, IL 622361077
Phone: 6182066120
Secondary Practice Locations
50 Northgate Industrial Dr
Granite City, IL 620406805
Phone: 6188774420
1181 S State Route 157, Suite 201
Edwardsville, IL 620253776
Phone: 6182888850
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1000 ELEVEN S STE 4A, COLUMBIA, IL 622361077 (Tel: 6182066120)
Registered at PO BOX 955534, SAINT LOUIS, MO 631955534
Nurse Practitioner (license number reported to NPPES: MO 2017009020)
Registered at 50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 620406805 (Tel: 6188774420)
Nurse Practitioner (license number reported to NPPES: IL 209013573)
Nurse Practitioner (license number reported to NPPES: IL 209.013573)
NPI status registered as active in NPPES database
Registered at 1181 S STATE ROUTE 157, SUITE 201, EDWARDSVILLE, IL 620253776 (Tel: 6182888850)
Registered at 102 BRENTWOOD BLVD, ALTON, IL 620024419 (Tel: 6186965508)
Recorded as NICHOLAS SUTTON, NP
Nurse Practitioner (license number reported to NPPES: IL 209013573)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Columbia
Mailing Address
Po Box 955534
Saint Louis, MO 631955534