SHAWN JAMES SUSSMAN
NPI 1679592182
Physician Assistant in Merrick, NY

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
2821 RIVERSIDE AVE, MERRICK, NY 11566(516) 663-2384 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shawn James Sussman NPPES

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

SHAWN JAMES SUSSMAN (NPI 1679592182) is an individual physician assistant in Merrick, New York, licensed in New York (5870) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1679592182
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHAWN JAMES SUSSMAN
Location Address2821 RIVERSIDE AVEMerrick, NY 11566-4940
Mailing Address2821 Riverside AveMerrick, NY 11566-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 28, 2023
NPI 1679592182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 5870
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2821 RIVERSIDE AVE, Merrick, NY 11566

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

Shawn James Sussman 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 ID5092718304
PECOS Enrollment IDI20060804000296
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 5

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.

Harvest of artery from arm for heart bypass graft using an endoscope 33509
This procedure involves taking an artery from your arm using a small camera (endoscope). This artery is then used to bypass a blocked artery in your heart, improving blood flow and heart health. It's a common, safe procedure.
17 services17 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
16 services16 patients
Coronary artery bypass using artery graft, 2 grafts 33534
A Coronary Artery Bypass with 2 grafts is a heart procedure. It involves taking healthy blood vessels from another part of your body and using them to bypass, or go around, blocked arteries in your heart. This helps improve blood flow to your heart.
14 services14 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
13 services13 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11566 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
$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

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 Shawn Sussman's NPI number?

The NPI number for Shawn Sussman is 1679592182. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Shawn Sussman located?

Shawn Sussman practices at 2821 Riverside Ave, Merrick, NY 11566. The listed phone number is (516) 663-2384.

What is Shawn Sussman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shawn Sussman enrolled in Medicare?

Yes. Shawn 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 Shawn Sussman affiliated with any hospitals?

According to CMS data, Shawn Sussman is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Shawn Sussman was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.