2026 NPPES data Dermatology Physician NPI 1255523569 M.D.
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SUSAN BOONE, M.D.

Dermatology Physician in SACRAMENTO, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
227
Medicare Part D claims · 171 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: SUSAN BOONE, M.D. is a Dermatology Physician ([object Object]) practicing in SACRAMENTO, California with a Medicare Part D prescribing footprint of 227 claims across 171 beneficiaries — 13% brand-name prescribing .

What stands out: SUSAN BOONE, M.D. filed 227 Medicare Part D claims in 2023 across SACRAMENTO, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SUSAN BOONE, 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).

SUSAN BOONE, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/10/2007

NPI 1255523569

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

227 69% vs specialty avg

2023 prescription claims

Specialty avg: 729

Specialty distribution in California

How Dermatology Physician compares to other specialties among California providers

California providers

Dermatology Physician share within California

1. Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatology Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Dermatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Dermatology Physician ABMS/AOA estimate

Est. board-certified rate (Dermatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Dermatology Physician) — ABMS / AOA estimate

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).

SUSAN BOONE, M.D. is a Dermatology Physician provider practicing in SACRAMENTO, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1255523569. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SUSAN BOONE, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 9201 BIG HORN BLVD, SACRAMENTO, CA, 95864, with a listed phone of (916) 478-5660. NPI 1255523569 was issued on 08/10/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOONE 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 227 prescription claims written by this provider, covering 171 Medicare beneficiaries and totaling roughly $4K in drug spend, split 13% brand-name and 87% generic by claim count. 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.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

9201 BIG HORN BLVD
SACRAMENTO, CA 95864

Provider Details

NPI 1255523569
Specialty Dermatology Physician
Credentials M.D.
Gender Female
NPI Issued 08/10/2007

Hospital and facility affiliations

Facilities where SUSAN BOONE, 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.

PERMANENTE MEDICAL GROUP INC
STOCKTON, CA

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

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to SUSAN BOONE, M.D.. To verify SUSAN BOONE, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SUSAN BOONE, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 227 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.

227
Total Claims
$4K
Total Drug Cost
171
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
245
Total Day Supply
4,042
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$647
Generic Drug Cost
$3K
Antibiotic Claims
160

Patient Demographics

Average Patient Age
76.9 years
Avg HCC Risk Score
1.26
Gender Split
43% female / 57% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cephalexin
122
Doxycycline Monohydrate
31
Ciprofloxacin Hcl
22

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

Dermatology Physician Overview

How SUSAN BOONE, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

SUSAN BOONE, M.D.'s 227 claims are below the specialty average of 729.

Nearby Dermatology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as BOONE.

Compare Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUSAN BOONE, M.D.'s specialty?
SUSAN BOONE, M.D. specializes in Dermatology Physician and practices in SACRAMENTO, California. Credentials: M.D..
How much does SUSAN BOONE, M.D. prescribe under Medicare Part D?
In 2023, SUSAN BOONE, M.D. wrote 227 Medicare Part D claims totaling $4K in drug costs for 171 beneficiaries.
Where is SUSAN BOONE, M.D. located?
SUSAN BOONE, M.D. is located at 9201 BIG HORN BLVD, SACRAMENTO, CA, 95864. Phone: (916) 478-5660.
What is SUSAN BOONE, M.D.'s NPI number?
SUSAN BOONE, M.D.'s National Provider Identifier (NPI) is 1255523569, issued on 08/10/2007.
Does SUSAN BOONE, M.D. prescribe more brand-name or generic drugs?
SUSAN BOONE, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $647 in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does SUSAN BOONE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SUSAN BOONE, M.D.'s most frequently prescribed drugs include Cephalexin, Doxycycline Monohydrate, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUSAN BOONE, M.D. accept Medicare?
SUSAN BOONE, M.D. appears in CMS Medicare data with 227 Part D claims and 171 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUSAN BOONE, M.D.'s credentials?
SUSAN BOONE, M.D.'s NPI is 1255523569 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.
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