2026 NPPES data Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician NPI 1720025299 M.D.
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NATHANIEL SUTAIN, M.D.

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician in LINDEN, New Jersey. 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
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
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

NATHANIEL SUTAIN, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 1,560 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
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 MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 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)

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.?

Below national average

NPI registry status

Active

Issued 06/01/2006

NPI 1720025299

Primary specialty

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Rare

96 US NPIs in this specialty

Medicare Part D claims

1,560 342% vs specialty avg

2023 prescription claims

Specialty avg: 353

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among New Jersey providers

New Jersey providers

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician share within New Jersey

1. Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician share within New Jersey

Medicare quality performance — MIPS

NATHANIEL SUTAIN, M.D.'s 2023 MIPS final score plotted against the Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUTAIN 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 1,560 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%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 96 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

210 W SAINT GEORGES AVE FL 2
LINDEN, NJ 07036

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
Avg: 83.1

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

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.

96
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.

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.

Compare Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

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. The national average MIPS Final Score is 83.1. 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 96 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

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