NPI registry status
Active
2026 NPPES data Allergy & Immunology Physician NPI 1285624593 D. O.
Verify on CMS → James Sussman, D. O.
Allergy & Immunology Physician in Santa Fe, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,394 in Allergy & Immunology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 227 beneficiaries · Allergy & Immunology Physician avg: 764
MIPS score
57.2/100
▼ 26 pts below national avg 83.1 · Mid-tier
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 57.2/100 - below the 83.1 national average - and filed 1,009 Medicare Part D claims in 2023.
- 57.2/100
- 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
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
Where James Sussman, D. O. sits
This provider among allergy & immunology physician peers
Across the 740 allergy & immunology physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Sussman, D. O. writes more Part D claims than 61% of them and scores higher on MIPS quality than 13% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one allergy & immunology physician peer from a representative sample of 60; the gold marker is James Sussman, D. O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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 averagePrimary specialty
Allergy & Immunology Physician
Medicare Part D claims
1,009 32% vs specialty avg
MIPS final score
57.2/100 25.9 pts vs avg
Specialty distribution in New Mexico
How Allergy & Immunology Physician compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
James Sussman, D. O.'s 2023 MIPS final score plotted against the Allergy & Immunology Physician national average
- MIPS Final Score
- 57.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Allergy & Immunology Physician) - 57.2/100 vs national avg 83.1
How MIPS and board certification work
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 an 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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 57.2/100 for the 2023 performance year (Quality 57.7, Cost 35.1), compared with the national average of 83.1.
Allergy & Immunology Physician is a narrow specialty nationwide, with 3,394 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
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
- Albuterol Sulfate …
Albuterol Sulfate Hfa
111 claims
- Trelegy Ellipta
Trelegy Ellipta
87 claims
- Azelastine Hcl
Azelastine Hcl
76 claims
- Prednisone
Prednisone
62 claims
- Montelukast Sodium
Montelukast Sodium
59 claims
- Fluticasone Propio…
Fluticasone Propionate
46 claims
- Ipratropium Bromide 41
Ipratropium Bromide
41 claims
- Symbicort 36
Symbicort
36 claims
| 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.
3,394
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.
Dr. Katherine Abernathy-Carver
M.D.
Albuquerque, NM
Dr. Corey Clay
MD, PHD
Santa Fe, NM
Dr. Bruce Feldman
MD
Albuquerque, NM
Dr. Jack Ghably
M.D.
Albuquerque, NM
Dr. Amanda Grippen Goddard
D.O.
Albuquerque, NM
Compare Allergy & Immunology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Mexico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Allergy & Immunology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 57.2/100 (Quality: 57.7, Cost: 35.1). 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 3,394 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.