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MR. SCOTT EVAN SUSSMAN FNP-C
NPI 1720153570
Nurse Practitioner - Family in Stony Brook, NY

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
2500 NESCONSET HWY, BLDG 2, STONY BROOK, NY 11790(631) 686-1414(631) 854-9675 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Scott Evan Sussman Fnp-c NPPES

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

MR. SCOTT EVAN SUSSMAN FNP-C (NPI 1720153570) is an individual family provider in Stony Brook, New York, licensed in New York (F334083) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2003).

NPPES Registry Identity

NPI1720153570
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SCOTT EVAN SUSSMANCredential: FNP-C
Location Address2500 NESCONSET HWY, BLDG 2Stony Brook, NY 11790
Mailing Address2500 Nesconset Hwy Bldg 2Stony Brook, NY 11790-2555 · (631) 686-1414 · Fax (631) 585-4967
Phone(631) 686-1414
Fax(631) 854-9675
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2003
Enumeration DateNovember 21, 2006
Last NPPES UpdateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1720153570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F334083
2500 NESCONSET HWY, Stony Brook, NY 11790
Open in Google Maps ↗

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

Mr. Scott Evan Sussman Fnp-c 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 ID8921094210
PECOS Enrollment IDI20040422000456
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 8

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.
605 services323 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
321 services196 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
161 services133 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
32 services31 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
29 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11790 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
21%33 patients1/55-star benchmark: 100%
Breast Cancer Screening
45%376 patients2/55-star benchmark: 93%
Cervical Cancer Screening
43%502 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
3%58 patients
Colorectal Cancer Screening
55%1,052 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
88%672 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
5%198 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%198 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,605 patients5/55-star benchmark: 100%
HIV Screening
15%1,408 patients2/55-star benchmark: 60%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
89%1,508 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%1,890 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%438 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
4 suppliers13 claims25 services$6.07 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims2,742 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$23.91 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.

DR. JAMES ROBERT GRAZIANO D.C.
Chiropractor
2500 NESCONSET HWY, BUILDING 12A
STONY BROOK, NY 11790
Suffolk County (631) 877-1789
DR. MYRON DRAZEN PHD
Psychologist (Clinical)
2500 NESCONSET HWY, BLDG 5D
STONYBROOK, NY 11790
Suffolk County (631) 689-7979
SUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC
Psychiatry & Neurology (Neurology)
2500 NESCONSET HWY, SUITE 16A
STONY BROOK, NY 11790
Suffolk County (631) 246-5454
MICHAEL SCOTT WEBER RPA-C
Physician Assistant (Medical)
2500 NESCONSET HWY, BUILDING 7D
STONY BROOK, NY 11790
Suffolk County (631) 751-3322
SCOTT BERMAN MD
Obstetrics & Gynecology
2500 NESCONSET HWY, BUILDING 12 SUITE 45
STONY BROOK, NY 11790
Suffolk County (631) 675-9010
JACQUELYN ANN FABER DPT
Physical Therapist
2500 NESCONSET HWY
STONY BROOK, NY 11790
Suffolk County (631) 751-7988
NORTH ISLAND HEMATOLOGY ONCOLOGY
Internal Medicine (Hematology & Oncology)
2500 NESCONSET HWY, BLDG 26B
STONY BROOK, NY 11790
Suffolk County (631) 751-8305
DR. SHAFI WANI M.D.
Specialist
2500 NESCONSET HWY, BLDG 15H
STONY BROOK, NY 11790
Suffolk County (631) 689-3005

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 Scott Sussman's NPI number?

The NPI number for Scott Sussman is 1720153570. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Scott Sussman located?

Scott Sussman practices at 2500 Nesconset Hwy Bldg 2, Stony Brook, NY 11790. The listed phone number is (631) 686-1414.

What is Scott Sussman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Scott Sussman enrolled in Medicare?

Yes. Scott 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 Scott Sussman affiliated with any hospitals?

According to CMS data, Scott Sussman is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Scott Sussman was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.