Dr. David P Sutton , MD
Ophthalmology โข Chippewa Falls, WI
2525 County Highway I
Chippewa Falls, WI 547291422
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 28, 2006; this date does not establish years in practice.
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Published CMS data list 917 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 92014 โ Established patient complete exam of visual system: 180 service units.
- 92134 โ Imaging of retina: 155 service units.
- J0178 โ Injection, aflibercept, 1 mg: 114 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 476 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Latanoprost โ 122 prescription fills, including refills.
- Prednisolone Acetate โ 120 prescription fills, including refills.
- Ofloxacin โ 106 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 65% of clinicians listed under Ophthalmology in Wisconsin (2024, 249 clinicians with data). Median for this group: 1,563. Middle half: 755 to 2,396.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 408 in 2020 to 917 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
2525 County Highway I
Chippewa Falls, WI 547291422
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 Dixon, IL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
247 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $177,582 in 2024
The total amount Medicare approved for these services in 2024. 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 โ by Provider and Service, 2024.
Paid by Medicare
About $132,037 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ by Provider and Service, 2024.
30-day fills
700 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
$8,728 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
NPI first issued
2006
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, โDoes your provider accept Medicare as full payment?โ
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.
Compared with the same specialty in Chippewa Falls and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Ophthalmology in Wisconsin (2024, 249 clinicians with data). Median for this group: 1,563. Middle half: 755 to 2,396.
Too few clinicians listed under Ophthalmology in Chippewa Falls have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Ophthalmology in Wisconsin (2024, 249 clinicians with data). Median for this group: $177,576. Middle half: $72,724 to $293,146.
Too few clinicians listed under Ophthalmology in Chippewa Falls have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Ophthalmology in Wisconsin (2024, 249 clinicians with data). Median for this group: $130,282. Middle half: $53,426 to $214,805.
Too few clinicians listed under Ophthalmology in Chippewa Falls have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 65% of clinicians listed under Ophthalmology in Wisconsin (2024, 272 clinicians with data). Median for this group: 951. Middle half: 305 to 1,831.
Too few clinicians listed under Ophthalmology in Chippewa Falls have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Ophthalmology in Wisconsin (2024, 272 clinicians with data). Median for this group: $49,043. Middle half: $9,350 to $136,096.
Too few clinicians listed under Ophthalmology in Chippewa Falls have Medicare Part D data for 2024 to compare.
6 active clinicians are listed under Ophthalmology with a practice address in Chippewa Falls, WI (441 in Wisconsin).
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.
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Medicare Part B services
Medicare Part B services increased 125% from 408 in 2020 to 917 in 2024.
- 2020: 408
- 2021: 562
- 2022: 668
- 2023: 900
- 2024: 917
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Medicare-allowed amount
Medicare-allowed amount increased 186% from $62,033 in 2020 to $177,582 in 2024.
- 2020: $62,033
- 2021: $83,471
- 2022: $92,654
- 2023: $195,339
- 2024: $177,582
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Paid by Medicare
Paid by Medicare increased 194% from $44,869 in 2020 to $132,037 in 2024.
- 2020: $44,869
- 2021: $60,818
- 2022: $65,936
- 2023: $149,549
- 2024: $132,037
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 142% from 197 in 2020 to 476 in 2024.
- 2020: 197
- 2021: 250
- 2022: 379
- 2023: 348
- 2024: 476
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30-day fills
30-day fills increased 205% from 230 in 2020 to 700 in 2024.
- 2020: 230
- 2021: 303
- 2022: 492
- 2023: 503
- 2024: 700
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Part D drug cost
Part D drug cost increased 29% from $6,776 in 2020 to $8,728 in 2024.
- 2020: $6,776
- 2021: $7,250
- 2022: $10,007
- 2023: $9,648
- 2024: $8,728
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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 |
|---|---|---|---|---|
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92014
Established patient complete exam of visual system
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180 | 153 | $153.00 | $112.67 |
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92134
Imaging of retina
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155 | 49 | $197.00 | $35.53 |
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J0178
Injection, aflibercept, 1 mg
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114 | 14 | $1100.00 | $827.16 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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97 | 52 | $109.00 | $49.95 |
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92136
Measurement of corneal curvature and depth of eye
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81 | 51 | $507.00 | $35.13 |
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67028
Injection of drug into eye
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67 | 17 | $330.00 | $98.53 |
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66984
Removal of cataract with insertion of prosthetic lens
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59 | 33 | $5295.00 | $465.25 |
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92133
Imaging of optic nerve
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33 | 28 | $197.00 | $31.98 |
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92012
Established patient problem focused exam of visual system
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31 | 20 | $112.00 | $78.44 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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23 | 18 | $176.00 | $80.56 |
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92004
New patient complete exam of visual system
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22 | 22 | $199.00 | $135.06 |
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92083
Exam of visual field with extended testing
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20 | 19 | $197.00 | $56.42 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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19 | 17 | $212.00 | $115.23 |
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66821
Removal of recurring cataract in lens capsule using a laser
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16 | 13 | $1661.00 | $257.95 |
Source: CMS Part B by Provider and Service, 2024; 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 |
|---|---|---|---|---|---|
| Latanoprost | Latanoprost | 122 | 7,780 | $1,449.68 | 33 |
| Prednisolone Acetate | Prednisolone Acetate | 120 | 4,147 | $4,659.60 | 82 |
| Ofloxacin | Ofloxacin | 106 | 1,986 | $1,114.12 | 74 |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 94 | 2,493 | $1,262.14 | 71 |
| Timolol Maleate | Timolol Maleate | 34 | 2,386 | $242.25 | 11 |
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: 2021-12-30NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
102 S. Hennepin Ave, Ksb Medical Group
Dixon, IL 610213013
Phone: 8152887711
101 W 2nd St
Dixon, IL 61021
Phone: 8152858523
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Ophthalmology (license number reported to NPPES: AZ 35147)
Ophthalmology (license number reported to NPPES: WI 29034-20)
Registered at 2525 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 547291422 (Tel: 7157239375)
Registered at 2525 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 547291422 (Tel: 7157239375)
Registered at 101 W 2ND ST, DIXON, IL 61021 (Tel: 8152858523)
Registered at 101 W 2ND ST, DIXON, IL 610213030 (Tel: 8152858523)
Ophthalmology (license number reported to NPPES: AZ 35147)
NPI status registered as active in NPPES database
Registered at 102 S. HENNEPIN AVE, KSB MEDICAL GROUP, DIXON, IL 610213013 (Tel: 8152887711)
Registered at 102 S. HENNEPIN AVE., KSB MEDICAL GROUP, DIXON, IL 610213013 (Tel: (815) 288-7711)
Recorded as DAVID SUTTON, M.D.
Ophthalmology (license number reported to NPPES: IL 036120295)
NPI status registered as active in NPPES database
Registered at 901 W MORTON AVE, STE. #104, JACKSONVILLE, IL 626503145 (Tel: 2172456211)
Registered at 901 W MORTON AVE, STE. #104, JACKSONVILLE, IL 626503145 (Tel: 2172456211)
Recorded as DAVID SUTTON, M.D.
Ophthalmology (license number reported to NPPES: AZ 35147)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Ophthalmology Specialists in Chippewa Falls
Healthcare providers in Chippewa FallsMailing Address
2525 County Highway I
Chippewa Falls, WI 547291422
Phone: 7157239375