NPI registry status
Active
2026 NPPES data Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician NPI 1720025299 M.D.
Verify on CMS → Nathaniel Sutain, M.D.
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician in Linden, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 97 in Brain Injury Medicine (Physical Medicine & Rehabilitation) 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
2K
Medicare Part D claims · 437 beneficiaries · Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician avg: 353
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Nathaniel Sutain, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 1,560 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 2K
- Part D claims, 2023
- 96%
- 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.
Nathaniel Sutain, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,560 ≥ 81st percentile 81% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Nathaniel Sutain, 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 Nathaniel Sutain, M.D.?
CMS neutral score, not measuredPrimary specialty
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
1,560 342% vs specialty avg
MIPS final score
75/100
Specialty distribution in New Jersey
How Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among New Jersey providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Nathaniel Sutain, M.D. appears in the CMS NPPES registry as a Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 210 W SAINT GEORGES AVE FL 2, Linden, NJ, 07036, with a listed phone of (908) 486-1111. NPI 1720025299 was issued on 06/01/2006.
Medicare Part D records for calendar year 2023 show 1,560 prescription claims written by this provider, covering 437 Medicare beneficiaries and totaling roughly $72K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 40.5%. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 97 enrolled providers across 27 states and an average of 353 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 | 1720025299 |
|---|---|
| Specialty | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/01/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Individual
Hospital and facility affiliations
Facilities where Nathaniel Sutain, 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.
Orthonj LLC
Linden, NJ
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 · Generic-heavy
Nathaniel Sutain, M.D. - brand share 4.0%
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician average
4% brand-name claims vs 96% generic, on 1,560 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.
1,560
Total Claims
$72K
Total Drug Cost
437
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,681
- Total Day Supply
- 45,561
- Brand vs Generic
- 4% brand / 96% generic
- Brand Drug Cost
- $25K
- Generic Drug Cost
- $47K
- Opioid Claims
- 632 (40.5% rate)
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 1.52
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 70, 65-74: 189, 75-84: 127, 85+: 51
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nathaniel Sutain, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
191 claims
- Tizanidine Hcl
Tizanidine Hcl
190 claims
- Tramadol Hcl
Tramadol Hcl
176 claims
- Oxycodone Hcl
Oxycodone Hcl
126 claims
- Diclofenac Sodium
Diclofenac Sodium
90 claims
- Pregabalin
Pregabalin
89 claims
- Meloxicam
Meloxicam
86 claims
- Gabapentin 72
Gabapentin
72 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 191 |
| Tizanidine Hcl | 190 |
| Tramadol Hcl | 176 |
| Oxycodone Hcl | 126 |
| Diclofenac Sodium | 90 |
| Pregabalin | 89 |
| Meloxicam | 86 |
| Gabapentin | 72 |
| Lidocaine | 56 |
| Omeprazole | 56 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician in NJ →
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Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Nathaniel Sutain, M.D. fits within the Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
97
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
27
States with Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
353
Avg Claims per Provider
Nathaniel Sutain, M.D.'s 1,560 claims are above the specialty average of 353.
Nationwide Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sutain, both outside New Jersey so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Sutain.
One of 9 Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician providers enrolled in New Jersey, 5 are shown here.
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 Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Brain Injury Medicine (Physical Medicine & Rehabilitation) 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 Nathaniel Sutain, M.D.'s specialty? ▼
Nathaniel Sutain, M.D. specializes in Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician and practices in Linden, New Jersey. Credentials: M.D..
How much does Nathaniel Sutain, M.D. prescribe under Medicare Part D? ▼
In 2023, Nathaniel Sutain, M.D. wrote 1,560 Medicare Part D claims totaling $72K in drug costs for 437 beneficiaries.
What is Nathaniel Sutain, M.D.'s Medicare quality score? ▼
Nathaniel Sutain, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nathaniel Sutain, M.D. located? ▼
Nathaniel Sutain, M.D. is located at 210 W SAINT GEORGES AVE FL 2, Linden, NJ, 07036. Phone: (908) 486-1111.
What is Nathaniel Sutain, M.D.'s NPI number? ▼
Nathaniel Sutain, M.D.'s National Provider Identifier (NPI) is 1720025299, issued on 06/01/2006.
Does Nathaniel Sutain, M.D. prescribe more brand-name or generic drugs? ▼
Nathaniel Sutain, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $25K in brand drug costs.
Does Nathaniel Sutain, M.D. prescribe opioids? ▼
Yes, Nathaniel Sutain, M.D. had 632 opioid claims in 2023 with an opioid prescribing rate of 40.5%.
How many Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 97 Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician providers across 27 states in the US. The average Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician provider writes 353 Medicare Part D claims per year.
What drugs does Nathaniel Sutain, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Nathaniel Sutain, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Tizanidine Hcl, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nathaniel Sutain, M.D. accept Medicare? ▼
Nathaniel Sutain, M.D. appears in CMS Medicare data with 1,560 Part D claims and 437 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nathaniel Sutain, M.D.'s credentials? ▼
Nathaniel Sutain, M.D.'s NPI is 1720025299 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
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.