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DR. KATIE GOONAN SUSSMAN M.D.
NPI 1316142672
Pediatrics in Rochester, NY

Active since June 18, 2007PECOS Enrolled
95.19/100
CMS Quality Rating
222 ALEXANDER ST, SUITE 4100, ROCHESTER, NY 14607(585) 922-8230(585) 922-8260 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Katie Goonan Sussman M.d. NPPES

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

DR. KATIE GOONAN SUSSMAN M.D. (NPI 1316142672) is an individual pediatrics provider in Rochester, New York, licensed in New York (269979) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316142672
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATIE GOONAN SUSSMANCredential: M.D.
Location Address222 ALEXANDER ST, SUITE 4100Rochester, NY 14607-4005
Mailing Address222 Alexander St, Suite 4100Rochester, NY 14607-4005 · (585) 922-8230 · Fax (585) 922-8260
Phone(585) 922-8230
Fax(585) 922-8260
Sole ProprietorYes
Enumeration DateJune 18, 2007
Last NPPES UpdateMarch 25, 2015
✔ NPI 1316142672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 269979
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
222 ALEXANDER ST, Rochester, NY 14607
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN191773Y18MD
Medicaid036992600MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katie Goonan 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.

Medicare Billing Reassignment

Medicare enrollment records show Katie Sussman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rochester General Hospital
Same address
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1760557656 (585) 922-3150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14607 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

CHAD MCDONALD LMSW
Social Worker
222 ALEXANDER ST
ROCHESTER, NY 14607
Monroe County (585) 922-8179
DR. ANDREE JACOBS-PERKINS M.D.
Pediatrics
222 ALEXANDER ST, SUITE 4200
ROCHESTER, NY 14607
Monroe County (585) 922-8245
DR. DOUGLAS H JONES M.D.
Internal Medicine (Allergy & Immunology)
222 ALEXANDER ST, MONROE COURT
ROCHESTER, NY 14607
Monroe County (585) 922-8350
DR. ALBERT MANGOLD M.D.
Pediatrics
222 ALEXANDER ST, SUITE 4100/4200
ROCHESTER, NY 14607
Monroe County (585) 922-8230
MS. KRISTEN CARNAHAN NP
Nurse Practitioner (Pediatrics)
222 ALEXANDER ST, 4TH FLOOR
ROCHESTER, NY 14607
Monroe County (585) 922-8230
DR. CHARLES IPPOLITO M.D.
Internal Medicine
222 ALEXANDER ST, SUITE 5000
ROCHESTER, NY 14607
Monroe County (585) 922-8003
JOHN KRALLES RD, CDN
Dietitian, Registered
222 ALEXANDER ST, STE 5100
ROCHESTER, NY 14607
Monroe County (585) 922-8400
MRS. CYNTHIA ANN LARSON RPA-C
Physician Assistant
222 ALEXANDER ST, SUITE 2400
ROCHESTER, NY 14607
Monroe County (585) 327-5205

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 Katie Sussman's NPI number?

The NPI number for Katie Sussman is 1316142672. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Katie Sussman located?

Katie Sussman practices at 222 Alexander St Suite 4100, Rochester, NY 14607. The listed phone number is (585) 922-8230.

What is Katie Sussman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katie Sussman enrolled in Medicare?

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

Which organization bills Medicare for Katie Sussman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Sussman reassigns Medicare benefits to Rochester General Hospital (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katie Sussman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katie Sussman was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.