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Kristie Sutton, MD

Obstetrics/Gynecology · San Jose

NPI 1578912614

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
14
2 carriers
Offices
2

Offices

2 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

14 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Sutton’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

14 of 14 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A168487 · Current

Licensed to practise in California · since 2020 · expires 2028-04-30 · University of Tennessee Health Science Center College of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$5,672

Medicare paid this office $5,672 for 17 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

17 Original Medicare patients in 2024. Average age 69 · 85 and older 0% · Women 100% · Health risk score 0.78. At or below the middle of the specialty; the typical obstetrics & gynecology clinician is at 0.88.

The office billed $21,720, Medicare allowed $7,087 and paid $5,672; for 32 services of 13 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241732690.78$21,720$5,672
20232340730.66$17,824$4,177
20222132701.43$9,399$2,948
202130210710.98$21,319$5,061
20201421690.57$4,794$1,543

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 1 service

Original Medicare services billed in 2023
Return visit (30+ min)12$1,624$116

2021: 1 service

Original Medicare services billed in 2021
Short return visit (20+ min)12$928$71

Money from drug and device companies

$18 in 2024

Industry payments by year
202411None$18
202211None$48

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Hologic Sales and ServiceAcessa Provu System$18
1 payment
  • Meals for Acessa Provu System · 2024-11-15 · $18
See the published payment
Every published payment
Hologic Sales and ServiceMeals · 2024-11-15Acessa Provu System$18
See earlier years (2022)

2022: $48

Payments by company in 2022
Ethicon USSurgicel Nu-Knit$48
1 payment
  • Meals for Surgicel Nu-Knit · 2022-10-17 · $48

Professional record

NPI
1578912614
Licence
CA A168487California A168487: Current · expires 2028-04-30
Trained
University of Tennessee, Hsc, College of Medicine, 2016
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207V00000X (207V00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2016-06-09
NPI last updated
2020-08-10
NPI record certified
2020-08-10

This is when the NPI record was last certified, not a medical board exam.