2026 NPPES data Pediatric Ophthalmology and Strabismus Specialist Physician NPI 1427672294 MD
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MELISSA SUGGS, MD

Pediatric Ophthalmology and Strabismus Specialist Physician in HAWTHORNE, 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
266
Medicare Part D claims · 100 beneficiaries · Pediatric Ophthalmology and Strabismus Specialist Physician avg: 266
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MELISSA SUGGS, MD filed 266 Medicare Part D claims in 2023 as a Pediatric Ophthalmology and Strabismus Specialist Physician in HAWTHORNE, New York, prescribing 65% generic.

266
Part D claims, 2023
65%
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.

MELISSA SUGGS, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

266 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

MELISSA SUGGS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 MELISSA SUGGS, MD?

Quality data not reported

NPI registry status

Active

Issued 06/08/2020

NPI 1427672294

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist Physician

Rare

242 US NPIs in this specialty

Medicare Part D claims

266 0% vs specialty avg

2023 prescription claims

Specialty avg: 266

Specialty distribution in New York

How Pediatric Ophthalmology and Strabismus Specialist Physician compares to other specialties among New York providers

New York providers

Pediatric Ophthalmology and Strabismus Specialist Physician share within New York

1. Pediatric Ophthalmology and Strabismus Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Ophthalmology and Strabismus Specialist Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Ophthalmology and Strabismus Specialist Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Ophthalmology and Strabismus Specialist Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Ophthalmology and Strabismus Specialist Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Ophthalmology and Strabismus Specialist Physician) — ABMS / AOA estimate

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).

MELISSA SUGGS, MD appears in the CMS NPPES registry as a Pediatric Ophthalmology and Strabismus Specialist Physician provider holding MD credentials at 40 SAW MILL RIVER RD STE UL7, HAWTHORNE, NY, 10532, with a listed phone of (914) 313-3937. NPI 1427672294 was issued on 06/08/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUGGS 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 266 prescription claims written by this provider, covering 100 Medicare beneficiaries and totaling roughly $16K in drug spend, split 35% brand-name and 65% 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.

Pediatric Ophthalmology and Strabismus Specialist Physician is a narrow specialty nationwide, with 242 enrolled providers across 40 states and an average of 266 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

40 SAW MILL RIVER RD STE UL7
HAWTHORNE, NY 10532

Provider Details

NPI 1427672294
Specialty Pediatric Ophthalmology and Strabismus Specialist Physician
Credentials MD
Gender Female
NPI Issued 06/08/2020

Hospital and facility affiliations

Facilities where MELISSA SUGGS, 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.

WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC
VALHALLA, 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).

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 MELISSA SUGGS, MD. To verify MELISSA SUGGS, MD'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 · Above average

MELISSA SUGGS, MD — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 266 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.

266
Total Claims
$16K
Total Drug Cost
100
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
386
Total Day Supply
10,579
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$12K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
2.32
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What MELISSA SUGGS, MD 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
Latanoprost
86
Prednisolone Acetate
45
Ofloxacin
39
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
32

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

Pediatric Ophthalmology and Strabismus Specialist Physician Overview

How MELISSA SUGGS, MD fits within the Pediatric Ophthalmology and Strabismus Specialist Physician landscape nationally.

242
Pediatric Ophthalmology and Strabismus Specialist Physician Providers in US
40
States with Pediatric Ophthalmology and Strabismus Specialist Physician
266
Avg Claims per Provider

MELISSA SUGGS, MD's 266 claims are below the specialty average of 266.

Nearby Pediatric Ophthalmology and Strabismus Specialist Physician Providers in New York

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

Compare Pediatric Ophthalmology and Strabismus Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MELISSA SUGGS, MD's specialty?
MELISSA SUGGS, MD specializes in Pediatric Ophthalmology and Strabismus Specialist Physician and practices in HAWTHORNE, New York. Credentials: MD.
How much does MELISSA SUGGS, MD prescribe under Medicare Part D?
In 2023, MELISSA SUGGS, MD wrote 266 Medicare Part D claims totaling $16K in drug costs for 100 beneficiaries.
Where is MELISSA SUGGS, MD located?
MELISSA SUGGS, MD is located at 40 SAW MILL RIVER RD STE UL7, HAWTHORNE, NY, 10532. Phone: (914) 313-3937.
What is MELISSA SUGGS, MD's NPI number?
MELISSA SUGGS, MD's National Provider Identifier (NPI) is 1427672294, issued on 06/08/2020.
Does MELISSA SUGGS, MD prescribe more brand-name or generic drugs?
MELISSA SUGGS, MD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $12K in brand drug costs.
How many Pediatric Ophthalmology and Strabismus Specialist Physician providers are there in the US?
There are 242 Pediatric Ophthalmology and Strabismus Specialist Physician providers across 40 states in the US. The average Pediatric Ophthalmology and Strabismus Specialist Physician provider writes 266 Medicare Part D claims per year.
What drugs does MELISSA SUGGS, MD prescribe most often?
Based on 2023 Medicare Part D data, MELISSA SUGGS, MD's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISSA SUGGS, MD accept Medicare?
MELISSA SUGGS, MD appears in CMS Medicare data with 266 Part D claims and 100 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELISSA SUGGS, MD's credentials?
MELISSA SUGGS, MD's NPI is 1427672294 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.
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