2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1417049834 MD
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CRAIG SUSSMAN, MD

Endocrinology, Diabetes & Metabolism Physician in NASHVILLE, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 348 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1279/100
▲ 14 pts above national avg 83.1 · [object Object]
What the federal data reveals: CRAIG SUSSMAN, MD is a Endocrinology, Diabetes & Metabolism Physician ([object Object]) practicing in NASHVILLE, Tennessee with a Medicare Part D prescribing footprint of 3K claims across 348 beneficiaries — 40% brand-name prescribing . Their CMS MIPS Final Score of 97.1279/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CRAIG SUSSMAN, MD reported a CMS MIPS final score of 97.1279 out of 100, above the 83.1 national average, and filed 2,535 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CRAIG SUSSMAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CRAIG SUSSMAN, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/30/2006

NPI 1417049834

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

2,535 4% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

97.1279/100 14.027900000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Tennessee providers

Tennessee providers

Endocrinology, Diabetes & Metabolism Physician share within Tennessee

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within Tennessee

Medicare quality performance — MIPS

CRAIG SUSSMAN, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

High performer (top quartile)
MIPS Final Score
97.1279/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 97.1279/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 97.1279/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CRAIG SUSSMAN, MD is a Endocrinology, Diabetes & Metabolism Physician provider practicing in NASHVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1417049834. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CRAIG SUSSMAN, MD appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 3601 THE VANDERBILT CLINIC, NASHVILLE, TN, 37232, with a listed phone of (615) 936-2000. NPI 1417049834 was issued on 09/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUSSMAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,535 prescription claims written by this provider, covering 348 Medicare beneficiaries and totaling roughly $931K in drug spend, split 40% brand-name and 60% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.1279/100 for the 2023 performance year (Quality 85.6458), compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

Provider Details

NPI 1417049834
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials MD
Gender Male
NPI Issued 09/30/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

97.1279
Final Score
Avg: 83.1
85.6458
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CRAIG SUSSMAN, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VANDERBILT UNIVERSITY MEDICAL CENTER
★★★★★ 5/5
NASHVILLE, TN
Acute Care Hospitals
CMS CCN: 440039

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

CRAIG SUSSMAN, MD — brand share 40.0%
Specialty average (est.)

40% brand-name claims vs 60% generic, on 2,535 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,535
Total Claims
$931K
Total Drug Cost
348
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,895
Total Day Supply
174,987
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$864K
Generic Drug Cost
$45K

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.39
Gender Split
57% female / 43% male
Age Distribution
<65: 15, 65-74: 150, 75-84: 136, 85+: 47

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
323
Glimepiride
146
Ozempic
Semaglutide
119
Metformin Hcl Er
Metformin Hcl
104
Humalog Kwikpen U-100
Insulin Lispro
76
Metformin Hcl
73
Synthroid
Levothyroxine Sodium
72
Novolog Flexpen
Insulin Aspart
59
Telmisartan
58
Amlodipine Besylate
42

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Endocrinology, Diabetes & Metabolism Physician Overview

How CRAIG SUSSMAN, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

CRAIG SUSSMAN, MD's 2,535 claims are below the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as SUSSMAN.

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRAIG SUSSMAN, MD's specialty?
CRAIG SUSSMAN, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in NASHVILLE, Tennessee. Credentials: MD.
How much does CRAIG SUSSMAN, MD prescribe under Medicare Part D?
In 2023, CRAIG SUSSMAN, MD wrote 2,535 Medicare Part D claims totaling $931K in drug costs for 348 beneficiaries.
What is CRAIG SUSSMAN, MD's Medicare quality score?
CRAIG SUSSMAN, MD has a CMS MIPS Final Score of 97.1279/100 (Quality: 85.6458). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CRAIG SUSSMAN, MD located?
CRAIG SUSSMAN, MD is located at 3601 THE VANDERBILT CLINIC, NASHVILLE, TN, 37232. Phone: (615) 936-2000.
What is CRAIG SUSSMAN, MD's NPI number?
CRAIG SUSSMAN, MD's National Provider Identifier (NPI) is 1417049834, issued on 09/30/2006.
Does CRAIG SUSSMAN, MD prescribe more brand-name or generic drugs?
CRAIG SUSSMAN, MD's prescribing is 40% brand-name and 60% generic drugs by claim count, with $864K in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does CRAIG SUSSMAN, MD prescribe most often?
Based on 2023 Medicare Part D data, CRAIG SUSSMAN, MD's most frequently prescribed drugs include Levothyroxine Sodium, Glimepiride, Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG SUSSMAN, MD accept Medicare?
CRAIG SUSSMAN, MD appears in CMS Medicare data with 2,535 Part D claims and 348 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG SUSSMAN, MD's credentials?
CRAIG SUSSMAN, MD's NPI is 1417049834 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology