DR. MICHAEL H SUSSMAN MD
NPI 1285692632
Internal Medicine - Cardiovascular Disease in Garden City, NY

Active since May 03, 2006PECOS Enrolled
84.47/100
CMS Quality Rating
975 STEWART AVE, GARDEN CITY, NY 11530(516) 222-8640(516) 745-5476 Get Directions Write a Review

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

Record update history: Sep 8, 2022, Apr 2, 2021 (2 updates tracked since 2021).

About Dr. Michael H Sussman Md NPPES

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

DR. MICHAEL H SUSSMAN MD (NPI 1285692632) is an individual cardiovascular disease provider in Garden City, New York, licensed in New York (143367) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285692632
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MICHAEL H SUSSMANCredential: MD
Location Address975 STEWART AVEGarden City, NY 11530-4816
Mailing Address975 Stewart AveGarden City, NY 11530-4816 · (516) 222-8640 · Fax (516) 745-5476
Fax(516) 745-5476
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
NPI 1285692632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 143367
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
975 STEWART AVE, Garden City, NY 11530

Other Identifiers 1

Medicaid00925062NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael H Sussman Md 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 11530 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Nurse Practitioner (Adult Health)
975 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine (Interventional Cardiology)
975 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine (Cardiovascular Disease)
975 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine (Cardiovascular Disease)
975 STEWART AVE
GARDEN CITY, NY 11530
Physician Assistant
975 STEWART AVE
GARDEN CITY, NY 11530
Physician Assistant (Medical)
975 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine
975 STEWART AVE
GARDEN CITY, NY 11530
Nurse Practitioner (Family)
975 STEWART AVE
GARDEN CITY, NY 11530

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 Michael Sussman's NPI number?

The NPI number for Michael Sussman is 1285692632. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Michael Sussman located?

Michael Sussman practices at 975 Stewart Ave, Garden City, NY 11530. The listed phone number is (516) 222-8640.

What is Michael Sussman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Sussman enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Sussman was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.