NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1962695023 M.D.
Verify on CMS → Paul Sufka, M.D.
Rheumatology Physician in Woodbury, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology 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 · 281 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Paul Sufka, M.D. filed 1,231 Medicare Part D claims in 2023 as a Rheumatology Physician in Woodbury, Minnesota, prescribing 81% generic.
- 1K
- Part D claims, 2023
- 81%
- 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.
Paul Sufka, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,231 Top 22% higher than 78% of 1,370,886 prescribers
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)
Paul Sufka, M.D. 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 Paul Sufka, M.D.?
Quality data not reportedPrimary specialty
Rheumatology Physician
Medicare Part D claims
1,231 40% vs specialty avg
Specialty distribution in Minnesota
How Rheumatology Physician compares to other specialties among Minnesota providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Rheumatology Physician. Verify directly:
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).
Paul Sufka, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 4040 RADIO DR, Woodbury, MN, 55129, with a listed phone of (514) 398-8076. NPI 1962695023 was issued on 08/22/2007.
Medicare Part D records for calendar year 2023 show 1,231 prescription claims written by this provider, covering 281 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 4.6%.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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 | 1962695023 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/22/2007 |
Hospital and facility affiliations
Facilities where Paul Sufka, 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.
Infinite Health Collaborative, PA
Hudson, WI
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 · Typical
Paul Sufka, M.D. - brand share 19.0%
Rheumatology Physician average
19% brand-name claims vs 81% generic, on 1,231 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.
1,231
Total Claims
$1.2M
Total Drug Cost
281
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,479
- Total Day Supply
- 71,391
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $1.1M
- Generic Drug Cost
- $46K
- Opioid Claims
- 57 (4.6% rate)
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 1.45
- Gender Split
- 72% female / 28% male
- Age Distribution
- <65: 37, 65-74: 148, 75-84: 80, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Sufka, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
228 claims
- Prednisone
Prednisone
214 claims
- Methotrexate
Methotrexate
146 claims
- Enbrel Sureclick 60
Enbrel Sureclick
60 claims
- Allopurinol 59
Allopurinol
59 claims
- Leflunomide 34
Leflunomide
34 claims
- Leucovorin Calcium 33
Leucovorin Calcium
33 claims
- Folic Acid 30
Folic Acid
30 claims
| Drug | Claims |
|---|---|
| Hydroxychloroquine Sulfate | 228 |
| Prednisone | 214 |
| Methotrexate Methotrexate Sodium | 146 |
| Enbrel Sureclick Etanercept | 60 |
| Allopurinol | 59 |
| Leflunomide | 34 |
| Leucovorin Calcium | 33 |
| Folic Acid | 30 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 24 |
| Colchicine | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Paul Sufka, M.D. fits within the Rheumatology Physician landscape nationally.
6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Paul Sufka, M.D.'s 1,231 claims are below the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Sufka.
Dr. Upasana Agrawal
MBBS
Rochester, MN
Dr. Fatima Alnaimat
M.D
Duluth, MN
Dr. Sara Baig
MD
Edina, MN
Dr. Hammad Bajwa
M.D.
Edina, MN
Dr. Gary Baker
MD
Saint Paul, MN
Compare Rheumatology 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 Minnesota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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 Paul Sufka, M.D.'s specialty? ▼
Paul Sufka, M.D. specializes in Rheumatology Physician and practices in Woodbury, Minnesota. Credentials: M.D..
How much does Paul Sufka, M.D. prescribe under Medicare Part D? ▼
In 2023, Paul Sufka, M.D. wrote 1,231 Medicare Part D claims totaling $1.2M in drug costs for 281 beneficiaries.
Where is Paul Sufka, M.D. located? ▼
Paul Sufka, M.D. is located at 4040 RADIO DR, Woodbury, MN, 55129. Phone: (514) 398-8076.
What is Paul Sufka, M.D.'s NPI number? ▼
Paul Sufka, M.D.'s National Provider Identifier (NPI) is 1962695023, issued on 08/22/2007.
Does Paul Sufka, M.D. prescribe more brand-name or generic drugs? ▼
Paul Sufka, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $1.1M in brand drug costs.
Does Paul Sufka, M.D. prescribe opioids? ▼
Yes, Paul Sufka, M.D. had 57 opioid claims in 2023 with an opioid prescribing rate of 4.6%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Paul Sufka, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Sufka, M.D.'s most frequently prescribed drugs include Hydroxychloroquine Sulfate, Prednisone, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Sufka, M.D. accept Medicare? ▼
Paul Sufka, M.D. appears in CMS Medicare data with 1,231 Part D claims and 281 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Sufka, M.D.'s credentials? ▼
Paul Sufka, M.D.'s NPI is 1962695023 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.