NPPES file of Aug 9, 2026

Philip A. Cusumano, M.D.

Internal Medicine Physician · Beaufort, SC

Philip A. Cusumano, M.D. is an internal medicine physician with a practice address in Beaufort, South Carolina, and NPI 1295767572, issued on Jul 7, 2006. Check the license (South Carolina 34018, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295767572
Name
Philip A. Cusumano
Credential
M.D.
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
34018 SC
Self-reported in NPPES; status is on the state search
Practice location
117 Sea Island Parkway, Beaufort, SC 29907
Phone
(843) 522-7240
Enumerated
Jul 7, 2006
Record last updated
May 28, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(843) 522-7249
Medicaid ID
0861456 OH
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Philip A. Cusumano in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
    Search for license 34018
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Carolina license search

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98% fewer Medicare Part D claims than the average internal medicine physician in 2024

60 Medicare Part D claims for 20 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.

  1. Philip Cusumano60
  2. Specialty average3,176

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 75.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score64.8
  2. Costout of 100 · 30%53.8
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Philip A. Cusumano among 1,881 internal medicine physician records in South Carolina

Philip A. Cusumano, M.D. is one of 1,881 internal medicine physician records with a practice address in South Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 58% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileNo · 60% of these records are
  • Record last updated2014 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

19 internal medicine physician records list a practice address in Beaufort

They are 19 of the 1,190 NPPES records with a practice address in Beaufort, and 1,881 internal medicine physician records in South Carolina.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Irina Borissova, M.D.Ladys Island, SC 299071558301655
  2. John Garner, PABeaufort, SC 299071801808258
  3. Robert Vyge, M.D.Beaufort, SC 299071760400881
  4. Nicholas Dardes, DOBeaufort, SC 299061083723688
  5. Fletcher Derrick, M.D.Beaufort, SC 299061083784110
  6. Emi Rendon Pope, M.D.Beaufort, SC 299061417342247
  7. Luann Aquino, MDOkatie, SC 299091659399566
  8. Erik Baker, MDOkatie, SC 299091225071673

Common questions

What is Philip A. Cusumano, M.D.'s NPI number?

Philip A. Cusumano, M.D.'s National Provider Identifier (NPI) is 1295767572, issued on Jul 7, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Philip A. Cusumano, M.D. located?

The NPPES record lists a practice address at 117 Sea Island Parkway, Beaufort, SC, 29907. Phone: (843) 522-7240. Providers update this record themselves, so call before visiting.

How can I verify Philip A. Cusumano, M.D.'s license?

NPPES lists South Carolina license number 34018, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Philip A. Cusumano, M.D. prescribe under Medicare Part D?

In 2024, Philip A. Cusumano, M.D. had 60 Medicare Part D claims for 20 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Philip A. Cusumano, M.D.'s MIPS final score?

The 2023 MIPS final score is 75.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.