STEPHANIE SUSSMAN M.D.
NPI 1679887905
Pediatrics in Chapel Hill, NC

Active since July 28, 2010PECOS Enrolled
1181 WEAVER DAIRY RD STE 210, CHAPEL HILL, NC 27514(984) 215-4339(984) 215-4342 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2021, Jan 3, 2019 (2 updates tracked since 2019).

About Stephanie Sussman M.d. NPPES

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

STEPHANIE SUSSMAN M.D. (NPI 1679887905) is an individual pediatrics provider in Chapel Hill, North Carolina, licensed in North Carolina (2016-00592) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679887905
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTEPHANIE SUSSMANCredential: M.D.
Location Address1181 WEAVER DAIRY RD STE 210Chapel Hill, NC 27514-1870
Mailing Address54 Horizon DrPittsboro, NC 27312-5797 · (412) 926-2172
Fax(984) 215-4342
Sole ProprietorNo
Enumeration DateJuly 28, 2010
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1679887905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2016-00592
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.
1181 WEAVER DAIRY RD STE 210, Chapel Hill, NC 27514

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Internal Medicine
1181 WEAVER DAIRY RD STE 250
Chapel Hill, NC 27514
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group

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 27514 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1181 WEAVER DAIRY RD STE 210
CHAPEL HILL, NC 27514
Pediatrics
1181 WEAVER DAIRY RD STE 210
CHAPEL HILL, NC 27514

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 Stephanie Sussman's NPI number?

The NPI number for Stephanie Sussman is 1679887905. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Stephanie Sussman located?

Stephanie Sussman practices at 1181 Weaver Dairy Rd Ste 210, Chapel Hill, NC 27514. The listed phone number is (984) 215-4339.

What is Stephanie Sussman's specialty?

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

Is Stephanie Sussman enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Sussman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Sussman reassigns Medicare benefits to Unc Physicians Network LLC (Chapel Hill, NC). 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 Stephanie Sussman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Sussman accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Sussman was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.