2026 NPPES data Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician NPI 1366718504 M.D.
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Rachael Sussman, M.D.

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in Washington, District of Columbia. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 109 in Urogynecology and Reconstructive Pelvic Surgery (Urology) 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 · 496 beneficiaries · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician avg: 1K
MIPS score
80.2/100
▼ 3 pts below national avg 83.1 · Above neutral
Industry payments
$814.27
20 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Rachael Sussman, M.D. reported a CMS MIPS final score of 80.2/100 - below the 83.1 national average - and filed 1,611 Medicare Part D claims in 2023.

80.2/100
MIPS score · -3 vs avg
2K
Part D claims, 2023
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.

Rachael Sussman, 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

80 33rd percentile higher than 33% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 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

Where Rachael Sussman, M.D. sits

This provider among urogynecology and reconstructive pelvic surgery (urology) physician peers

Across the 56 urogynecology and reconstructive pelvic surgery (urology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rachael Sussman, M.D. writes more Part D claims than 73% of them and scores higher on MIPS quality than 29% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.947.871.795.5Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 11 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 36 · MIPS quality, percentile: 11Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 64Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 64Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 16 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 11Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 56Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 11Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 4Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 91Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 91Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 29Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 44Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 89Part D claim volume, percentile in specialty: 96 · MIPS quality, percentile: 71Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 76Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 24 · MIPS quality, percentile: 49Part D claim volume, percentile in specialty: 4 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 89 · MIPS quality, percentile: 51Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 69Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 64 · MIPS quality, percentile: 91Part D claim volume, percentile in specialty: 69 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 76 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 91Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 91Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 91Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 11Part D claim volume, percentile in specialty: 71 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 51 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 71Part D claim volume, percentile in specialty: 9 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Rachael Sussman, M.D.-Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 29
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urogynecology and reconstructive pelvic surgery (urology) physician peer from a representative sample of 55; the gold marker is Rachael Sussman, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Rachael Sussman, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Rachael Sussman, M.D.?

Near national average

NPI registry status

Active

Issued 03/30/2012

NPI 1366718504

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician

Rare

109 US NPIs in this specialty

Medicare Part D claims

1,611 46% vs specialty avg

2023 prescription claims

Specialty avg: 1,103

MIPS final score

80.2/100 2.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician compares to other specialties among District of Columbia providers

District of Columbia providers
Home Health Aide - 20.8%Home Health Aide20.8%Personal Care Attendant - 11.5%Personal Care Attendant11.5%Case Manager/Care Coordinator - 7%Case Manager/Care Coordinator7%Student in an Organized Health Care Education/Training Program - 6.4%Student in an Organized Health Care Education/Training Program6.4%Clinical Social Worker - 4%Clinical Social Worker4%Internal Medicine Physician - 2.1%Internal Medicine Physician2.1%Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician - 0%Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician0%
Largest specialties in District of Columbia (% of in-state providers)

Medicare quality performance, MIPS

Rachael Sussman, M.D.'s 2023 MIPS final score plotted against the Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician national average

Near national average
MIPS Final Score
80.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician) - 80.2/100 vs national avg 83.1

0%100%National avg83%80.2%
MIPS final score (Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician) - 80.2/100 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).

Rachael Sussman, M.D. appears in the CMS NPPES registry as a Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician provider holding M.D. credentials at 3800 RESERVOIR RD NW, Washington, DC, 20007, with a listed phone of (202) 444-4922. NPI 1366718504 was issued on 03/30/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Sussman 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 1,611 prescription claims written by this provider, covering 496 Medicare beneficiaries and totaling roughly $551K in drug spend. 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 80.2/100 for the 2023 performance year (Quality 76.7, Cost 53.5), compared with the national average of 83.1.

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician is a narrow specialty nationwide, with 109 enrolled providers across 28 states and an average of 1,103 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

3800 RESERVOIR RD NW
Washington, DC 20007

Provider Details

NPI 1366718504
Specialty Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Credentials M.D.
Gender Female
NPI Issued 03/30/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

80.1797
Final Score
Avg: 83.1
76.6904
Quality
53.4937
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Rachael Sussman, 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.

Medstar Medical Group II LLC
Washington, DC
Suburban/nrh Medical Rehabilitation Inc
Bethesda, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Rachael Sussman, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$814

Largest payer

Boston Scientific Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,611
Total Claims
$551K
Total Drug Cost
496
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,268
Total Day Supply
92,911
Generic Drug Cost
$91K
Antibiotic Claims
207

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.51
Gender Split
71% female / 29% male
Age Distribution
<65: 68, 65-74: 215, 75-84: 160, 85+: 53

Top Prescribed Drugs (Medicare Part D)

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

What Rachael Sussman, 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
Estradiol
375
Myrbetriq
Mirabegron
310
Tamsulosin Hcl
173
Gemtesa
Vibegron
119
Yuvafem
Estradiol
73
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
71
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
70
Oxybutynin Chloride Er
Oxybutynin Chloride
55
Solifenacin Succinate
48
Trospium Chloride Er
Trospium Chloride
26

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

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Overview

How Rachael Sussman, M.D. fits within the Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician landscape nationally.

109
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Providers in US
28
States with Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
1,103
Avg Claims per Provider

Rachael Sussman, M.D.'s 1,611 claims are above the specialty average of 1,103.

Nearby Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Sussman.

Compare Urogynecology and Reconstructive Pelvic Surgery (Urology) 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 District of Columbia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Urogynecology and Reconstructive Pelvic Surgery (Urology) 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.

Frequently Asked Questions

What is Rachael Sussman, M.D.'s specialty?
Rachael Sussman, M.D. specializes in Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician and practices in Washington, District of Columbia. Credentials: M.D..
How much does Rachael Sussman, M.D. prescribe under Medicare Part D?
In 2023, Rachael Sussman, M.D. wrote 1,611 Medicare Part D claims totaling $551K in drug costs for 496 beneficiaries.
What is Rachael Sussman, M.D.'s Medicare quality score?
Rachael Sussman, M.D. has a CMS MIPS Final Score of 80.2/100 (Quality: 76.7, Cost: 53.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rachael Sussman, M.D. located?
Rachael Sussman, M.D. is located at 3800 RESERVOIR RD NW, Washington, DC, 20007. Phone: (202) 444-4922.
What is Rachael Sussman, M.D.'s NPI number?
Rachael Sussman, M.D.'s National Provider Identifier (NPI) is 1366718504, issued on 03/30/2012.
How many Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician providers are there in the US?
There are 109 Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician providers across 28 states in the US. The average Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician provider writes 1,103 Medicare Part D claims per year.
What drugs does Rachael Sussman, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Rachael Sussman, M.D.'s most frequently prescribed drugs include Estradiol, Myrbetriq, Tamsulosin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachael Sussman, M.D. accept Medicare?
Rachael Sussman, M.D. appears in CMS Medicare data with 1,611 Part D claims and 496 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachael Sussman, M.D.'s credentials?
Rachael Sussman, M.D.'s NPI is 1366718504 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

Compiled from official public sources by the PlainDoctor editorial team.