2026 NPPES data Nephrology Physician NPI 1699790816 M.D.
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HEESUCK SUH, M.D.

Nephrology Physician in EAST SETAUKET, New York. 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 · 247 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.5241/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$1.1K
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HEESUCK SUH, M.D. reported a CMS MIPS final score of 98.5241/100 — above the 83.1 national average — and filed 2,553 Medicare Part D claims in 2023.

98.5241/100
MIPS score · +15 vs avg
3K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

HEESUCK SUH, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

99 Top 11% higher than 89% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

HEESUCK SUH, M.D. 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).

What does the federal data show about HEESUCK SUH, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/12/2006

NPI 1699790816

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

2,553 76% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

98.5241/100 15.42410000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Nephrology Physician compares to other specialties among New York providers

New York providers

Nephrology Physician share within New York

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within New York

Medicare quality performance — MIPS

HEESUCK SUH, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
98.5241/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 98.5241/100 vs national avg 83.1

0%100%National avg83%98.5%
MIPS final score (Nephrology Physician) — 98.5241/100 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).

HEESUCK SUH, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 26 RESEARCH WAY, EAST SETAUKET, NY, 11733, with a listed phone of (631) 444-0580. NPI 1699790816 was issued on 07/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUH 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 2,553 prescription claims written by this provider, covering 247 Medicare beneficiaries and totaling roughly $516K in drug spend, split 11% brand-name and 89% 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 98.5241/100 for the 2023 performance year (Quality 82.8545), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

26 RESEARCH WAY
EAST SETAUKET, NY 11733

Provider Details

NPI 1699790816
Specialty Nephrology Physician
Credentials M.D.
Gender Female
NPI Issued 07/12/2006

CMS Quality Score (MIPS)

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

98.5241
Final Score
Avg: 83.1
82.8545
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HEESUCK SUH, M.D. 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.

STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION
STONY BROOK, NY

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for HEESUCK SUH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Amgen Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to HEESUCK SUH, M.D.. To verify HEESUCK SUH, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

HEESUCK SUH, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 2,553 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.

2,553
Total Claims
$516K
Total Drug Cost
247
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,322
Total Day Supply
156,981
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$430K
Generic Drug Cost
$85K
Antibiotic Claims
105

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
3.08
Gender Split
43% female / 57% male
Age Distribution
<65: 61, 65-74: 98, 75-84: 66, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What HEESUCK SUH, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Allopurinol
151
Amlodipine Besylate
140
Atorvastatin Calcium
123
Metoprolol Succinate
104
Furosemide
88
Losartan Potassium
88
Doxazosin Mesylate
84
Omeprazole
79
Spironolactone
75
Eliquis
Apixaban
62

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

Nephrology Physician Overview

How HEESUCK SUH, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

HEESUCK SUH, M.D.'s 2,553 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as SUH.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HEESUCK SUH, M.D.'s specialty?
HEESUCK SUH, M.D. specializes in Nephrology Physician and practices in EAST SETAUKET, New York. Credentials: M.D..
How much does HEESUCK SUH, M.D. prescribe under Medicare Part D?
In 2023, HEESUCK SUH, M.D. wrote 2,553 Medicare Part D claims totaling $516K in drug costs for 247 beneficiaries.
What is HEESUCK SUH, M.D.'s Medicare quality score?
HEESUCK SUH, M.D. has a CMS MIPS Final Score of 98.5241/100 (Quality: 82.8545). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEESUCK SUH, M.D. located?
HEESUCK SUH, M.D. is located at 26 RESEARCH WAY, EAST SETAUKET, NY, 11733. Phone: (631) 444-0580.
What is HEESUCK SUH, M.D.'s NPI number?
HEESUCK SUH, M.D.'s National Provider Identifier (NPI) is 1699790816, issued on 07/12/2006.
Does HEESUCK SUH, M.D. prescribe more brand-name or generic drugs?
HEESUCK SUH, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $430K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does HEESUCK SUH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HEESUCK SUH, M.D.'s most frequently prescribed drugs include Allopurinol, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEESUCK SUH, M.D. accept Medicare?
HEESUCK SUH, M.D. appears in CMS Medicare data with 2,553 Part D claims and 247 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEESUCK SUH, M.D.'s credentials?
HEESUCK SUH, M.D.'s NPI is 1699790816 with credentials M.D.. 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