JOHN R. SUSSMAN M.D.
NPI 1205833670
Obstetrics & Gynecology in New Milford, CT

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
2 OLD PARK LN, NEW MILFORD, CT 06776(860) 354-9321(860) 350-9304 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John R. Sussman M.d. NPPES

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

JOHN R. SUSSMAN M.D. (NPI 1205833670) is an individual obstetrics & gynecology provider in New Milford, Connecticut, licensed in Connecticut (025996) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1205833670
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN R. SUSSMANCredential: M.D.
Location Address2 OLD PARK LNNew Milford, CT 06776-2508
Mailing Address2 Old Park LnNew Milford, CT 06776-2508 · (860) 354-9321 · Fax (860) 350-9304
Fax(860) 350-9304
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 30, 2005
Last NPPES UpdateMay 7, 2013
NPI 1205833670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CT · 025996
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.

2 OLD PARK LN, New Milford, CT 06776

Other Identifiers 3

Medicaid1259969CT
Medicare UPIND02988CT
Medicare ID-Type Unspecified160000483CT

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

John R. Sussman M.d. 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 ID4880876317
PECOS Enrollment IDI20110304000519
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 3

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.

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.
29 services19 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 services12 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06776 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2 OLD PARK LN
NEW MILFORD, CT 06776
Obstetrics & Gynecology
2 OLD PARK LN
NEW MILFORD, CT 06776
Physician Assistant
2 OLD PARK LN
NEW MILFORD, CT 06776

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 John Sussman's NPI number?

The NPI number for John Sussman is 1205833670. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is John Sussman located?

John Sussman practices at 2 Old Park Ln, New Milford, CT 06776. The listed phone number is (860) 354-9321.

What is John Sussman's specialty?

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

Is John Sussman enrolled in Medicare?

Yes. John 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 John Sussman affiliated with any hospitals?

According to CMS data, John Sussman is affiliated with Vassar Brothers Medical Center.

When was this NPI record last updated?

The NPPES record for John Sussman was last updated on May 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.