NPI registry status
Active
2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1225038557 MD
Verify on CMS → Sumit Verma, MD
Clinical Cardiac Electrophysiology Physician in Pensacola, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,668 in Clinical Cardiac Electrophysiology 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 · 465 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$20.1K
89 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Sumit Verma, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 1,720 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 2K
- Part D claims, 2024
- 71%
- 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.
Federal trust snapshot
What official records show about Sumit Verma, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1225038557), first enumerated 07/28/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,720 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$20.1K in reported industry payments (89 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Sumit Verma, MD's individual license status. Verify directly with the state medical board.
Source: FLDOH annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1225038557 · Clinical Cardiac Electrophysiology Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-NEUTRAL · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1225038557
- ENUM-LEGACY 2005
- TAX-NARROW 1,668
- MIPS-NEUTRAL 75/100
- RX-MID 1,720
- BOOK-THIN 150 in Florida
- PHOTO-ENUM David Clark · 2005
Sumit Verma, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,720 ≥ 82nd percentile 82% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Sumit Verma, MD 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 Sumit Verma, MD?
CMS neutral score, not measuredPrimary specialty
Clinical Cardiac Electrophysiology Physician
Medicare Part D claims
1,720 3% vs specialty avg
MIPS final score
75/100
Specialty distribution in Florida
How Clinical Cardiac Electrophysiology Physician compares to other specialties among Florida providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Practice Address
Provider Details
| NPI | 1225038557 |
|---|---|
| Specialty | Clinical Cardiac Electrophysiology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/28/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sumit Verma, MD 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.
Baptist Medical Group LLC
Gulf Breeze, FL
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 Sumit Verma, MD. Source: openpaymentsdata.cms.gov.
Total received
$20.1K
Largest payer
ABIOMED
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.
License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Sumit Verma, MD. To verify Sumit Verma, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Sumit Verma, MD - brand share 29.0%
Clinical Cardiac Electrophysiology Physician average
29% brand-name claims vs 71% generic, on 1,720 2024 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 2024.
1,720
Total Claims
$613K
Total Drug Cost
465
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,253.633
- Total Day Supply
- 124,906
- Brand vs Generic
- 29% brand / 71% generic
- Brand Drug Cost
- $579K
- Generic Drug Cost
- $35K
- Antibiotic Claims
- 70
Patient Demographics
- Average Patient Age
- 76.0 years
- Avg HCC Risk Score
- 1.69
- Gender Split
- 45% female / 55% male
- Age Distribution
- <65: 28, 65-74: 167, 75-84: 189, 85+: 81
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Sumit Verma, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Eliquis
Eliquis
310 claims
- Metoprolol Succinate
Metoprolol Succinate
229 claims
- Xarelto 123
Xarelto
123 claims
- Diltiazem 24hr Er … 110
Diltiazem 24hr Er (Cd)
110 claims
- Sotalol 82
Sotalol
82 claims
- Losartan Potassium 62
Losartan Potassium
62 claims
- Clopidogrel 55
Clopidogrel
55 claims
- Cephalexin 52
Cephalexin
52 claims
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 310 |
| Metoprolol Succinate | 229 |
| Xarelto Rivaroxaban | 123 |
| Diltiazem 24hr Er (Cd) Diltiazem Hcl | 110 |
| Sotalol Sotalol Hcl | 82 |
| Losartan Potassium | 62 |
| Clopidogrel Clopidogrel Bisulfate | 55 |
| Cephalexin | 52 |
| Lisinopril | 52 |
| Amlodipine Besylate | 51 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Clinical Cardiac Electrophysiology Physician in FL →
All providers in Florida →
Compare specialties →
Clinical Cardiac Electrophysiology Physician Overview
How Sumit Verma, MD fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.
1,668
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,662
Avg Claims per Provider
Sumit Verma, MD's 1,720 claims are above the specialty average of 1,662.
Nationwide Clinical Cardiac Electrophysiology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Verma, both outside Florida so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Clinical Cardiac Electrophysiology Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Verma.
One of 150 Clinical Cardiac Electrophysiology Physician providers enrolled in Florida, 5 are shown here.
Dr. Javier Acevedo
M.D.
Orlando, FL
Dr. Bosede Afolabi
MD
Tampa, FL
Dr. Asim Ahmed
DO
Miramar Beach, FL
Dr. Fahad Ali
MD
Fort Pierce, FL
Dr. Thabet Alsheikh
MD
Pensacola, FL
Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sumit Verma, MD's specialty? ▼
Sumit Verma, MD specializes in Clinical Cardiac Electrophysiology Physician and practices in Pensacola, Florida. Credentials: MD.
How much does Sumit Verma, MD prescribe under Medicare Part D? ▼
In 2024, Sumit Verma, MD wrote 1,720 Medicare Part D claims totaling $613K in drug costs for 465 beneficiaries.
What is Sumit Verma, MD's Medicare quality score? ▼
Sumit Verma, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sumit Verma, MD located? ▼
Sumit Verma, MD is located at 125 BAPTIST WAY STE 3A, Pensacola, FL, 32503. Phone: (448) 227-6604.
What is Sumit Verma, MD's NPI number? ▼
Sumit Verma, MD's National Provider Identifier (NPI) is 1225038557, issued on 07/28/2005.
Does Sumit Verma, MD prescribe more brand-name or generic drugs? ▼
Sumit Verma, MD's prescribing is 29% brand-name and 71% generic drugs by claim count, with $579K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US? ▼
There are 1,668 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,662 Medicare Part D claims per year.
What drugs does Sumit Verma, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Sumit Verma, MD's most frequently prescribed drugs include Eliquis, Metoprolol Succinate, Xarelto. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sumit Verma, MD accept Medicare? ▼
Sumit Verma, MD appears in CMS Medicare data with 1,720 Part D claims and 465 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sumit Verma, MD's credentials? ▼
Sumit Verma, MD's NPI is 1225038557 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.