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DR. SUSANNAH MACDONALD BECKER MD
NPI 1124254412
Internal Medicine - Endocrinology, Diabetes & Metabolism in Cincinnati, OH

Active since June 01, 2009PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
4440 RED BANK RD, SUITE 210, CINCINNATI, OH 45227(513) 272-0313(513) 272-0316 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susannah Macdonald Becker Md NPPES

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

DR. SUSANNAH MACDONALD BECKER MD (NPI 1124254412) is an individual endocrinology, diabetes & metabolism provider in Cincinnati, Ohio, licensed in Ohio (35.123782) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2009).

NPPES Registry Identity

NPI1124254412
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SUSANNAH MACDONALD BECKERCredential: MD
Location Address4440 RED BANK RD, SUITE 210Cincinnati, OH 45227-2176
Mailing Address4440 Red Bank Rd, Suite 210Cincinnati, OH 45227-2176 · (513) 272-0313 · Fax (513) 272-0316
Phone(513) 272-0313
Fax(513) 272-0316
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2009
Enumeration DateJune 1, 2009
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1124254412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in OH · 35.123782
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4440 RED BANK RD, Cincinnati, OH 45227
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Susannah Macdonald Becker Md 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 ID446499453
PECOS Enrollment IDI20140911002202
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 10

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.

Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
18,690 services17 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,520 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
480 services291 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
209 services68 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
201 services120 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
123 services65 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45227 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers40 claims478 services$18.39 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
9 suppliers41 claims1,335 services$2.34 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims16 services$163.85 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers81 claims300 services$5.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers21 claims35 services$1.13 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
6 suppliers47 claims47 services$314.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. AMANDA M. DENNEY M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313
KRISTIN GASKINS CNP
Nurse Practitioner (Family)
4440 RED BANK RD, SUITE 110
CINCINNATI, OH 45227
Hamilton County (513) 564-1366
MARY ELLEN ADAMS ANP
Nurse Practitioner (Adult Health)
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313
DR. KATHERINE MILLER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313
JOHN CLIFTON STADNIK MD
Emergency Medicine
4440 RED BANK RD, SUITE 110
CINCINNATI, OH 45227
Hamilton County (513) 564-1366
MRS. JILL STEPHANIE LEGRAND HUTH RD, LD
Dietitian, Registered
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313
ALISON PATRICIA SWEET M.D.
Emergency Medicine
4440 RED BANK RD, SUITE 110
CINCINNATI, OH 45227
Hamilton County (513) 564-1366
BARBARA ANN RAMLO HALSTED M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313

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 Susannah Becker's NPI number?

The NPI number for Susannah Becker is 1124254412. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Susannah Becker located?

Susannah Becker practices at 4440 Red Bank Rd Suite 210, Cincinnati, OH 45227. The listed phone number is (513) 272-0313.

What is Susannah Becker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Susannah Becker enrolled in Medicare?

Yes. Susannah Becker 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.

What insurance does Susannah Becker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Susannah Becker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susannah Becker affiliated with any hospitals?

According to CMS data, Susannah Becker is affiliated with Mercy Health-Anderson Hospital, Good Samaritan Hospital, Christ Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Susannah Becker was last updated on October 28, 2020. 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.