NPI registry status
Active
2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1316041635 MD
Verify on CMS → Suman Jana, MD
Endocrinology, Diabetes & Metabolism Physician in Cincinnati, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,852 in Endocrinology, Diabetes & Metabolism 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
3K
Medicare Part D claims · 369 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
45%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.8/100
▼ 4 pts below national avg 83.1 · Above neutral
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
Suman Jana, MD reported a CMS MIPS final score of 78.8/100 - below the 83.1 national average - and filed 2,575 Medicare Part D claims in 2023.
- 78.8/100
- MIPS score · -4 vs avg
- 3K
- Part D claims, 2023
- 45%
- 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.
Suman Jana, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 27th percentile higher than 27% of 477,587 scored providers
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 Suman Jana, MD sits
This provider among endocrinology, diabetes & metabolism physician peers
Across the 2,521 endocrinology, diabetes & metabolism physician providers who report both Medicare Part D prescribing and a MIPS quality score, Suman Jana, MD writes more Part D claims than 51% of them and scores higher on MIPS quality than 31% - 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
Each dot is one endocrinology, diabetes & metabolism physician peer from a representative sample of 60; the gold marker is Suman Jana, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Suman Jana, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Suman Jana, MD?
Near national averagePrimary specialty
Endocrinology, Diabetes & Metabolism Physician
Medicare Part D claims
2,575 2% vs specialty avg
MIPS final score
78.8/100 4.3 pts vs avg
Specialty distribution in Ohio
How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Suman Jana, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average
- MIPS Final Score
- 78.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) - 78.8/100 vs national avg 83.1
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).
Suman Jana, MD appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 222 PIEDMONT AVE, Cincinnati, OH, 45219, with a listed phone of (513) 475-7400. NPI 1316041635 was issued on 09/08/2006.
Medicare Part D records for calendar year 2023 show 2,575 prescription claims written by this provider, covering 369 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 48% brand-name and 45% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.8/100 for the 2023 performance year (Quality 70.4, Cost 58.9), compared with the national average of 83.1.
Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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 | 1316041635 |
|---|---|
| Specialty | Endocrinology, Diabetes & Metabolism Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/08/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.7894
Final Score
Avg: 83.1
70.4288
Quality
58.8691
Cost
100
Promoting Interoperability
Reporting: Group practice
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Suman Jana, MD. To verify Suman Jana, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Suman Jana, MD - brand share 48.0%
Endocrinology, Diabetes & Metabolism Physician average
48% brand-name claims vs 45% generic, on 2,575 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.
2,575
Total Claims
$1.4M
Total Drug Cost
369
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,067
- Total Day Supply
- 149,565
- Brand vs Generic
- 48% brand / 45% generic
- Brand Drug Cost
- $1.2M
- Generic Drug Cost
- $70K
Patient Demographics
- Average Patient Age
- 65.4 years
- Avg HCC Risk Score
- 2.10
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 117, 65-74: 175, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Suman Jana, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
362 claims
- Metformin Hcl Er
Metformin Hcl Er
159 claims
- Alendronate Sodium 118
Alendronate Sodium
118 claims
- Hydrocortisone 118
Hydrocortisone
118 claims
- Trulicity 118
Trulicity
118 claims
- Jardiance 84
Jardiance
84 claims
- Ozempic 81
Ozempic
81 claims
- Testosterone 71
Testosterone
71 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 362 |
| Metformin Hcl Er Metformin Hcl | 159 |
| Alendronate Sodium | 118 |
| Hydrocortisone | 118 |
| Trulicity Dulaglutide | 118 |
| Jardiance Empagliflozin | 84 |
| Ozempic Semaglutide | 81 |
| Testosterone | 71 |
| Synthroid Levothyroxine Sodium | 67 |
| Forteo Teriparatide | 55 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Endocrinology, Diabetes & Metabolism Physician in OH →
All providers in Ohio →
Compare specialties →
Endocrinology, Diabetes & Metabolism Physician Overview
How Suman Jana, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.
7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider
Suman Jana, MD's 2,575 claims are below the specialty average of 2,639.
Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Jana.
Fadia Abdo
Cleveland, OH
Dr. Abdul-Badi Abou-Samra
M.D., PH.D.
Toledo, OH
Dr. Milad Abusag
MD
Poland, OH
Dr. Hussein Adly
M.D.
Mansfield, OH
Dr. Omar Akhtar
M.B.B.S.
Cincinnati, OH
Compare Endocrinology, Diabetes & Metabolism 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Endocrinology, Diabetes & Metabolism 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 Suman Jana, MD's specialty? ▼
Suman Jana, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Cincinnati, Ohio. Credentials: MD.
How much does Suman Jana, MD prescribe under Medicare Part D? ▼
In 2023, Suman Jana, MD wrote 2,575 Medicare Part D claims totaling $1.4M in drug costs for 369 beneficiaries.
What is Suman Jana, MD's Medicare quality score? ▼
Suman Jana, MD has a CMS MIPS Final Score of 78.8/100 (Quality: 70.4, Cost: 58.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Suman Jana, MD located? ▼
Suman Jana, MD is located at 222 PIEDMONT AVE, Cincinnati, OH, 45219. Phone: (513) 475-7400.
What is Suman Jana, MD's NPI number? ▼
Suman Jana, MD's National Provider Identifier (NPI) is 1316041635, issued on 09/08/2006.
Does Suman Jana, MD prescribe more brand-name or generic drugs? ▼
Suman Jana, MD's prescribing is 48% brand-name and 45% generic drugs by claim count, with $1.2M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US? ▼
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does Suman Jana, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Suman Jana, MD's most frequently prescribed drugs include Levothyroxine Sodium, Metformin Hcl Er, Alendronate Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Suman Jana, MD accept Medicare? ▼
Suman Jana, MD appears in CMS Medicare data with 2,575 Part D claims and 369 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Suman Jana, MD's credentials? ▼
Suman Jana, MD's NPI is 1316041635 with credentials MD. 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
Compiled from official public sources by the PlainDoctor editorial team.