MR. ROBERT E SUSSMAN DPM
NPI 1013944917
Podiatrist in Neptune, NJ

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
57.15/100
CMS Quality Rating
2100 STATE ROUTE 33 STE 3, NEPTUNE, NJ 07753(732) 776-7260(732) 774-8370 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Robert E Sussman Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT E SUSSMAN DPM (NPI 1013944917) is an individual podiatrist in Neptune, New Jersey, licensed in New Jersey (25MD01549000) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of New York College Of Podiatric Medicine (1984).

NPPES Registry Identity

NPI1013944917
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMR. ROBERT E SUSSMANCredential: DPM
Location Address2100 STATE ROUTE 33 STE 3Neptune, NJ 07753-6116
Mailing Address2100 State Route 33 Ste 3Neptune, NJ 07753-6116 · (732) 776-7260 · Fax (732) 774-8370
Fax(732) 774-8370
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 1984
Enumeration DateJune 27, 2006
Last NPPES UpdateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
NPI 1013944917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NJ · 25MD01549000
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2100 STATE ROUTE 33 STE 3, Neptune, NJ 07753

Other Identifiers 1

Medicaid3382401NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Robert E Sussman Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466357173
PECOS Enrollment IDI20031205000121
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
684 services212 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
270 services145 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
217 services63 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
144 services97 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
141 services96 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
96 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

57.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality11.66
Improvement Activities40

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
0%885 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
2100 STATE ROUTE 33 STE 3
NEPTUNE, NJ 07753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Sussman's NPI number?

The NPI number for Robert Sussman is 1013944917. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Robert Sussman located?

Robert Sussman practices at 2100 State Route 33 Ste 3, Neptune, NJ 07753. The listed phone number is (732) 776-7260.

What is Robert Sussman's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Robert Sussman enrolled in Medicare?

Yes. Robert Sussman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Robert Sussman affiliated with any hospitals?

According to CMS data, Robert Sussman is affiliated with Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Sussman was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.