DR. HOWARD SUSSMAN M.D.
NPI 1497799571
Family Medicine in East Setauket, NY

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
181 N BELLE MEAD RD, EAST SETAUKET, NY 11733(111) 111-1111 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Howard Sussman M.d. NPPES

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

DR. HOWARD SUSSMAN M.D. (NPI 1497799571) is an individual family medicine provider in East Setauket, New York, licensed in New York (208259) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1996).

NPPES Registry Identity

NPI1497799571
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HOWARD SUSSMANCredential: M.D.
Location Address181 N BELLE MEAD RDEast Setauket, NY 11733-3495
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1996
Enumeration DateJune 16, 2006
Last NPPES UpdateAugust 22, 2013
NPI 1497799571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 208259
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

181 N BELLE MEAD RD, East Setauket, NY 11733

Other Identifiers 5

Medicare PIN11V0091121NY
Other12V472NY · Empire Bc.bs
Medicare UPING90477NY
Medicaid02007472NY
Other7389156NY · Aetna

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. Howard 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 ID3476556655
PECOS Enrollment IDI20100420000642
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 6

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 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.
228 services161 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
111 services88 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
83 services77 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
35 services34 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers24 claims59 services$5.85 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$68.04 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.

Physician Assistant
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
181 N BELLE MEAD RD, SPINE & SCOLIOSIS CENTER
EAST SETAUKET, NY 11733
Nurse Practitioner (Family)
181 N BELLE MEAD RD, SUITE 2
EAST SETAUKET, NY 11733

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 Howard Sussman's NPI number?

The NPI number for Howard Sussman is 1497799571. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Howard Sussman located?

Howard Sussman practices at 181 N Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (111) 111-1111.

What is Howard Sussman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Howard Sussman enrolled in Medicare?

Yes. Howard 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 Howard Sussman affiliated with any hospitals?

According to CMS data, Howard Sussman is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Howard Sussman was last updated on August 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.