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DR. JEFFREY SUSSMAN MD
NPI 1205804846
Surgery - Surgical Oncology in Cincinnati, OH

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
234 GOODMAN ST, BARRETT CENTER, ML 0772, CINCINNATI, OH 45267(513) 584-8900(513) 584-0459 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Sussman Md NPPES

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

DR. JEFFREY SUSSMAN MD (NPI 1205804846) is an individual surgical oncology provider in Cincinnati, Ohio, licensed in Ohio (35-072812) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1205804846
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. JEFFREY SUSSMANCredential: MD
Location Address234 GOODMAN ST, BARRETT CENTER, ML 0772Cincinnati, OH 45267-1000
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5506 · Fax (513) 585-5511
Phone(513) 584-8900
Fax(513) 584-0459
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMarch 9, 2006
Last NPPES UpdateMarch 12, 2018
✔ NPI 1205804846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in OH · 35-072812
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
234 GOODMAN ST, Cincinnati, OH 45267
Open in Google Maps ↗

Other Identifiers 1

Medicaid2040393OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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. Jeffrey Sussman 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 ID1052483997
PECOS Enrollment IDI20080709000355
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.

Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
30 services30 patients
Insertion of central venous tube with port for infusion (5 years or older) 36571
This procedure involves placing a tube into a large vein in your neck, chest, or groin. The tube, called a central venous catheter, is connected to a port that sits under your skin. This port allows for easy and safe administration of medications, nutrients, or fluids directly into your bloodstream.
28 services28 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.
24 services21 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.
22 services16 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.
18 services14 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45267 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

AUSTIN WAND MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 584-2146
KATHRYN KLEIN-SHUMRICK MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST, DEPT. OF RADIOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 584-2146
ALBERT ALAN CHAMBERS MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST
CINCINNATI, OH 45267
Hamilton County (513) 584-7544
CATHERINE PEREZ MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST
CINCINNATI, OH 45267
Hamilton County (513) 584-5335
ACHALA VAGAL MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 584-2146
DR. DAVID ANDREW ARENS JR. D.O.
Student in an Organized Health Care Education/Training Program
234 GOODMAN ST
CINCINNATI, OH 45267
Hamilton County (513) 584-4615
ROBERT LUKIN MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 584-7544
CARMEN V. SCHATZMAN CNS, RN
Clinical Nurse Specialist
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 584-1009

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 Jeffrey Sussman's NPI number?

The NPI number for Jeffrey Sussman is 1205804846. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Jeffrey Sussman located?

Jeffrey Sussman practices at 234 Goodman St Barrett Center, Ml 0772, Cincinnati, OH 45267. The listed phone number is (513) 584-8900.

What is Jeffrey Sussman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Jeffrey Sussman enrolled in Medicare?

Yes. Jeffrey 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.

What insurance does Jeffrey Sussman accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Jeffrey Sussman 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 Jeffrey Sussman affiliated with any hospitals?

According to CMS data, Jeffrey Sussman is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Sussman was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.