JEFFREY SUSSMAN MD
NPI 1629008115
Pathology - Anatomic Pathology & Clinical Pathology in Springfield, MA

Q: What is Jeffrey Sussman's NPI number?

The NPI number for Jeffrey Sussman is 1629008115. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Jeffrey Sussman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Sussman was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

299 CAREW ST, NEW ENGLAND PATHOLOGY ASSOCIATES PC, SPRINGFIELD, MA 01104(413) 748-9513(413) 748-6844 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jeffrey Sussman Md NPPES

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

JEFFREY SUSSMAN MD (NPI 1629008115) is an individual anatomic pathology & clinical pathology provider in Springfield, Massachusetts, licensed in Massachusetts (73526) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Temple University School Of Medicine (1986).

NPPES Registry Identity

NPI1629008115

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameJEFFREY SUSSMANCredential: MD

Location Address299 CAREW ST, NEW ENGLAND PATHOLOGY ASSOCIATES PCSpringfield, MA 01104

Mailing AddressPo Box 789Ludlow, MA 01056-0789 · (413) 509-1000 · Fax (413) 509-1003

Phone(413) 748-9513

Fax(413) 748-6844

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1986

Enumeration DateJuly 3, 2006

Last NPPES UpdateNovember 11, 2021

NPPES CertifiedNovember 11, 2021

✔ NPI 1629008115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in MA · 73526

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 73526 (MA)

299 CAREW ST, Springfield, MA 01104

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Other Identifiers 2

Medicaid3076792MA

Medicaid30206823NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

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 ID42284770

PECOS Enrollment IDI20050503000273, I20200514000293

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 Jeffrey Sussman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Francis Care Medical Group, PC

24 mi

Anatomic Pathology & Clinical Pathology

114 WOODLAND ST, PATHOLOGY
Hartford, CT 06105

Reassigned Medicare billing, Connecticut and Massachusetts enrollments
26 clinicians in this Medicare group

NPI 1508172545 (860) 714-4280

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

Areas of Expertise CMS Part B claims 31

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,724 services827 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

492 services426 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

375 services223 patients

Cell examination of urine, manual 88120

A cell examination of urine, manually done, is a lab test where your urine is studied under a microscope. This helps identify any abnormal cells or substances in your urine, like bacteria or crystals, that could indicate health issues. It's a simple, non-invasive procedure.

284 services254 patients

Pap test, automated thin layer preparation; automated system and manual rescreening 88175

A Pap test is a screening tool that helps detect unusual cells. The automated thin layer preparation involves placing your cell sample in a thin layer on a slide. An automated system then scans the slide, and experts manually review any areas flagged by the system. This method enhances the accuracy of the results.

207 services198 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

199 services58 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

197 services190 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

193 services150 patients

Cell examination of specimen, selective cellular enhancement technique 88112

188 services137 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

166 services138 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

147 services110 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

144 services110 patients

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624

This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.

92 services87 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

90 services30 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

76 services33 patients

Cell examination of urine, manual 88120

58 services50 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

58 services35 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

44 services36 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

34 services31 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

30 services18 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

27 services23 patients

Special stained specimen slides to examine tissue, initial procedure 88342

24 services22 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

21 services20 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

20 services18 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

19 services19 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

19 services19 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

18 services16 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers 88189

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

17 services15 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

17 services13 patients

Crystal identification from tissue or body fluid 89060

Crystal identification from tissue or body fluid is a medical test that helps identify the presence of certain substances in the body. It involves analyzing samples from your body to detect crystals that may indicate health conditions like gout or kidney stones.

17 services13 patients

Evaluation of fine needle aspirate with interpretation and report 88173

15 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220015

Location30 Locust StreetNorthampton, MA 01060 · Hampshire County

Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220016

Location164 High StreetGreenfield, MA 01301 · Franklin County

Emergency services Birthing friendly

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220066

Location271 Carew StreetSpringfield, MA 01104 · Hampden County

Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01104 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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.

REGINA KRUCZYNSKA M.D.

Pediatrics (Adolescent Medicine)

299 CAREW ST
SPRINGFIELD, MA 01104

Hampden County (413) 734-6461

DR. SAVVAS PAPAZOGLOU MD

Specialist

299 CAREW ST, SUITE 319
SPRINGFIELD, MA 01104

Hampden County (413) 734-2540

DR. MAGDALENA CZERKAWSKA-ZYDZIK M.D.

Pediatrics (Adolescent Medicine)

299 CAREW ST, SUITE 210
SPRINGFIELD, MA 01104

Hampden County (413) 732-5580

BRUCE R DZIURA MD

Pathology (Anatomic Pathology)

299 CAREW ST
SPRINGFIELD, MA 01104

Hampden County (413) 748-9513

ANDREW S JUSKO MD PC

Ophthalmology

299 CAREW ST, SUITE 201
SPRINGFIELD, MA 01104

Hampden County (413) 736-1833

THE MERCY HOSPITAL INC

Pharmacy (Community/Retail Pharmacy)

299 CAREW ST
SPRINGFIELD, MA 01104

Hampden County (413) 452-6377

PEDIATRIC CARE ASSOCIATES, P.C.

Pediatrics

299 CAREW ST, STE. 234
SPRINGFIELD, MA 01104

Hampden County (413) 732-5580

DR. STEVEN B HOLSTEN MD

Orthopaedic Surgery

299 CAREW ST, SUITE 409
SPRINGFIELD, MA 01104

Hampden County (413) 734-3476

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 1629008115. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Jeffrey Sussman located?

Jeffrey Sussman practices at 299 Carew St New England Pathology Associates PC, Springfield, MA 01104. The listed phone number is (413) 748-9513.

What is Jeffrey Sussman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

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.

Which organization bills Medicare for Jeffrey Sussman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Sussman reassigns Medicare benefits to Saint Francis Care Medical Group, PC (Hartford, CT). 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 Jeffrey Sussman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Sussman accept?

Health plans from Taro Health 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 Cooley Dickinson Hospital Inc,the, Baystate Franklin Medical Center, Mercy Medical Ctr and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Sussman was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.