2026 NPPES data Allergy & Immunology Physician NPI 1285624593 D. O.
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JAMES SUSSMAN, D. O.

Allergy & Immunology Physician in SANTA FE, New Mexico. 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
1K
Medicare Part D claims · 227 beneficiaries · Allergy & Immunology Physician avg: 764
MIPS score
57.2337/100
▼ 26 pts below national avg 83.1 · [object Object]
Industry payments
$1.7K
63 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES SUSSMAN, D. O. reported a CMS MIPS final score of 57.2337/100 — below the 83.1 national average — and filed 1,009 Medicare Part D claims in 2023.

57.2337/100
MIPS score · -26 vs avg
1K
Part D claims, 2023
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.

JAMES SUSSMAN, D. O.'s MIPS score vs every scored U.S. clinician

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

57 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

JAMES SUSSMAN, D. O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 JAMES SUSSMAN, D. O.?

Below national average

NPI registry status

Active

Issued 10/27/2005

NPI 1285624593

Primary specialty

Allergy & Immunology Physician

Niche

3,390 US NPIs in this specialty

Medicare Part D claims

1,009 32% vs specialty avg

2023 prescription claims

Specialty avg: 764

MIPS final score

57.2337/100 25.866299999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Mexico

How Allergy & Immunology Physician compares to other specialties among New Mexico providers

New Mexico providers

Allergy & Immunology Physician share within New Mexico

1. Allergy & Immunology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Allergy & Immunology Physician share within New Mexico

Medicare quality performance — MIPS

JAMES SUSSMAN, D. O.'s 2023 MIPS final score plotted against the Allergy & Immunology Physician national average

Below national average
MIPS Final Score
57.2337/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Allergy & Immunology Physician) — 57.2337/100 vs national avg 83.1

0%100%National avg83%57.2%
MIPS final score (Allergy & Immunology Physician) — 57.2337/100 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).

JAMES SUSSMAN, D. O. appears in the CMS NPPES registry as a Allergy & Immunology Physician provider holding D. O. credentials at 1651 GALISTEO ST, SANTA FE, NM, 87505, with a listed phone of (505) 820-9870. NPI 1285624593 was issued on 10/27/2005. 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 1,009 prescription claims written by this provider, covering 227 Medicare beneficiaries and totaling roughly $796K in drug spend. 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 57.2337/100 for the 2023 performance year (Quality 57.6678, Cost 35.0545), compared with the national average of 83.1.

Allergy & Immunology Physician is a narrow specialty nationwide, with 3,390 enrolled providers across 52 states and an average of 764 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

1651 GALISTEO ST
SANTA FE, NM 87505

Provider Details

NPI 1285624593
Specialty Allergy & Immunology Physician
Credentials D. O.
Gender Male
NPI Issued 10/27/2005

CMS Quality Score (MIPS)

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

57.2337
Final Score
Avg: 83.1
57.6678
Quality
35.0545
Cost

Reporting: Individual

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 JAMES SUSSMAN, D. O.. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Medicare Part D Prescribing Data

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

1,009
Total Claims
$796K
Total Drug Cost
227
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,597
Total Day Supply
44,229
Generic Drug Cost
$32K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
0.96
Gender Split
72% female / 28% male
Age Distribution
<65: 19, 65-74: 107, 75-84: 90, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What JAMES SUSSMAN, D. O. 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
Albuterol Sulfate Hfa
Albuterol Sulfate
111
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
87
Azelastine Hcl
76
Prednisone
62
Montelukast Sodium
59
Fluticasone Propionate
46
Ipratropium Bromide
41
Symbicort
Budesonide/Formoterol Fumarate
36
Dupixent Syringe
Dupilumab
34
Breo Ellipta
Fluticasone/Vilanterol
31

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

Allergy & Immunology Physician Overview

How JAMES SUSSMAN, D. O. fits within the Allergy & Immunology Physician landscape nationally.

3,390
Allergy & Immunology Physician Providers in US
52
States with Allergy & Immunology Physician
764
Avg Claims per Provider

JAMES SUSSMAN, D. O.'s 1,009 claims are above the specialty average of 764.

Nearby Allergy & Immunology Physician Providers in New Mexico

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

Compare Allergy & Immunology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES SUSSMAN, D. O.'s specialty?
JAMES SUSSMAN, D. O. specializes in Allergy & Immunology Physician and practices in SANTA FE, New Mexico. Credentials: D. O..
How much does JAMES SUSSMAN, D. O. prescribe under Medicare Part D?
In 2023, JAMES SUSSMAN, D. O. wrote 1,009 Medicare Part D claims totaling $796K in drug costs for 227 beneficiaries.
What is JAMES SUSSMAN, D. O.'s Medicare quality score?
JAMES SUSSMAN, D. O. has a CMS MIPS Final Score of 57.2337/100 (Quality: 57.6678, Cost: 35.0545). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES SUSSMAN, D. O. located?
JAMES SUSSMAN, D. O. is located at 1651 GALISTEO ST, SANTA FE, NM, 87505. Phone: (505) 820-9870.
What is JAMES SUSSMAN, D. O.'s NPI number?
JAMES SUSSMAN, D. O.'s National Provider Identifier (NPI) is 1285624593, issued on 10/27/2005.
How many Allergy & Immunology Physician providers are there in the US?
There are 3,390 Allergy & Immunology Physician providers across 52 states in the US. The average Allergy & Immunology Physician provider writes 764 Medicare Part D claims per year.
What drugs does JAMES SUSSMAN, D. O. prescribe most often?
Based on 2023 Medicare Part D data, JAMES SUSSMAN, D. O.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES SUSSMAN, D. O. accept Medicare?
JAMES SUSSMAN, D. O. appears in CMS Medicare data with 1,009 Part D claims and 227 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES SUSSMAN, D. O.'s credentials?
JAMES SUSSMAN, D. O.'s NPI is 1285624593 with credentials D. O.. 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