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STEVEN SUSSMAN M.D.
NPI 1043283690
Obstetrics & Gynecology in Lawrenceville, NJ

Active since February 13, 2006PECOS Enrolled
95.77/100
CMS Quality Rating
123 FRANKLIN CORNER RD, SUITE 214, LAWRENCEVILLE, NJ 08648(609) 896-1400(609) 896-3986 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steven Sussman M.d. NPPES

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

STEVEN SUSSMAN M.D. (NPI 1043283690) is an individual obstetrics & gynecology provider in Lawrenceville, New Jersey, licensed in New Jersey (25MA04092700) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043283690
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSTEVEN SUSSMANCredential: M.D.
Location Address123 FRANKLIN CORNER RD, SUITE 214Lawrenceville, NJ 08648-2526
Mailing Address123 Franklin Corner Rd, Suite 214Lawrenceville, NJ 08648-2526 · (609) 896-1400 · Fax (609) 771-0619
Phone(609) 896-1400
Fax(609) 896-3986
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1043283690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NJ · 25MA04092700✔ Licensed in NJ · MA040927✔ Licensed in PA · MD025682E
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
123 FRANKLIN CORNER RD, Lawrenceville, NJ 08648
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Sussman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
77%919 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
95%1,923 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,962 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%422 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%2,797 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%2,518 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,886 patients
Patients tobacco: 4% · 101 patients
90%1,886 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%2,797 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
84%2,797 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
79%2,797 patients
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 20

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

MICHAEL ROY DASH M.D.
Internal Medicine
123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648
Mercer County (609) 895-6800
MS. KATIE SOTO LAC,LCADC
Counselor (Mental Health)
123 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648
Mercer County (609) 256-4200
MR. RICHARD TONY KAUFFMAN B.S., M.P.T
Physical Therapist
123 FRANKLIN CORNER RD, SUITE 103
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-9054
KATHLEEN GATER CNM
Advanced Practice Midwife
123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-1400
ASHLEY MARIE SHEMANSKY APN
Nurse Practitioner (Family)
123 FRANKLIN CORNER RD
LAWRENCE TOWNSHIP, NJ 08648
Mercer County (609) 537-7200
STEVEN PAUL ELLIS M.D.
Ophthalmology
123 FRANKLIN CORNER RD, STE 207
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-9448
INTERNAL MEDICINE ASSOCIATES OF LAWRENCE P C
Internal Medicine
123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648
Mercer County (609) 895-6800
TIKIKIL FIRDU M.D., M.P.H
Obstetrics & Gynecology
123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-1400

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 Steven Sussman's NPI number?

The NPI number for Steven Sussman is 1043283690. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Steven Sussman located?

Steven Sussman practices at 123 Franklin Corner Rd Suite 214, Lawrenceville, NJ 08648. The listed phone number is (609) 896-1400.

What is Steven Sussman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Steven Sussman enrolled in Medicare?

Yes. Steven Sussman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Steven Sussman was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.