NPI registry status
Active
2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1083683049 MD
Verify on CMS → Susan Henley, MD
Endocrinology, Diabetes & Metabolism Physician in Colorado Springs, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,871 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 · 257 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
49%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
21.3/100
▼ 62 pts below national avg 83.1 · Below average
Industry payments
$1.0K
68 payments · CMS Open Payments (Sunshine Act)
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
Susan Henley, MD reported a CMS MIPS final score of 21.3/100 - below the 83.1 national average - and filed 2,513 Medicare Part D claims in 2023.
- 21.3/100
- MIPS score · -62 vs avg
- 3K
- Part D claims, 2023
- 49%
- 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.
Susan Henley, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
21 3rd percentile higher than 3% 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 Susan Henley, 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, Susan Henley, MD writes more Part D claims than 50% of them and scores higher on MIPS quality than 3% - 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 Susan Henley, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Susan Henley, 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 Susan Henley, MD?
Below national averagePrimary specialty
Endocrinology, Diabetes & Metabolism Physician
Medicare Part D claims
2,513 5% vs specialty avg
MIPS final score
21.3/100 61.8 pts vs avg
Specialty distribution in Colorado
How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Susan Henley, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average
- MIPS Final Score
- 21.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) - 21.3/100 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).
Susan Henley, MD appears in the CMS NPPES registry as an Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 325 E FONTANERO ST, Colorado Springs, CO, 80907, with a listed phone of (719) 636-3829. NPI 1083683049 was issued on 03/14/2006.
Medicare Part D records for calendar year 2023 show 2,513 prescription claims written by this provider, covering 257 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 46% brand-name and 49% generic by claim count, with an opioid prescribing rate of 1.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 21.3/100 for the 2023 performance year (Quality 0, Cost 71.1), compared with the national average of 83.1.
Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,871 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 | 1083683049 |
|---|---|
| Specialty | Endocrinology, Diabetes & Metabolism Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 03/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
21.3402
Final Score
Avg: 83.1
0
Quality
71.1339
Cost
Reporting: Individual
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 Susan Henley, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.0K
Largest payer
Medtronic, Inc.
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.
Brand vs generic prescribing mix · Above average
Susan Henley, MD - brand share 46.0%
Endocrinology, Diabetes & Metabolism Physician average
46% brand-name claims vs 49% generic, on 2,513 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.
2,513
Total Claims
$1.3M
Total Drug Cost
257
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,401
- Total Day Supply
- 190,313
- Brand vs Generic
- 46% brand / 49% generic
- Brand Drug Cost
- $1.2M
- Generic Drug Cost
- $55K
- Opioid Claims
- 27 (1.1% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 1.75
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 35, 65-74: 109, 75-84: 91, 85+: 22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Susan Henley, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Synthroid
Synthroid
335 claims
- Atorvastatin Calcium
Atorvastatin Calcium
134 claims
- Lisinopril 92
Lisinopril
92 claims
- Metformin Hcl 82
Metformin Hcl
82 claims
- Metformin Hcl Er 77
Metformin Hcl Er
77 claims
- Rosuvastatin Calcium 65
Rosuvastatin Calcium
65 claims
- Unithroid 63
Unithroid
63 claims
- Losartan Potassium 59
Losartan Potassium
59 claims
| Drug | Claims |
|---|---|
| Synthroid Levothyroxine Sodium | 335 |
| Atorvastatin Calcium | 134 |
| Lisinopril | 92 |
| Metformin Hcl | 82 |
| Metformin Hcl Er Metformin Hcl | 77 |
| Rosuvastatin Calcium | 65 |
| Unithroid Levothyroxine Sodium | 63 |
| Losartan Potassium | 59 |
| Liothyronine Sodium | 57 |
| Jardiance Empagliflozin | 56 |
* 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 CO →
All providers in Colorado →
Compare specialties →
Endocrinology, Diabetes & Metabolism Physician Overview
How Susan Henley, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.
7,871
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider
Susan Henley, MD's 2,513 claims are below the specialty average of 2,639.
Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Henley.
Dr. Rebecca Adochio
MD
Edwards, CO
Dr. Robert Alsever
M.D.
Pueblo, CO
Dr. Linda Barbour
MD
Aurora, CO
Dr. Caitlin Bell
MD
Arvada, CO
Dr. Jennifer Bernard
M.D.
Lakewood, CO
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 Colorado 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 Susan Henley, MD's specialty? ▼
Susan Henley, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Colorado Springs, Colorado. Credentials: MD.
How much does Susan Henley, MD prescribe under Medicare Part D? ▼
In 2023, Susan Henley, MD wrote 2,513 Medicare Part D claims totaling $1.3M in drug costs for 257 beneficiaries.
What is Susan Henley, MD's Medicare quality score? ▼
Susan Henley, MD has a CMS MIPS Final Score of 21.3/100 (Quality: 0, Cost: 71.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Susan Henley, MD located? ▼
Susan Henley, MD is located at 325 E FONTANERO ST, Colorado Springs, CO, 80907. Phone: (719) 636-3829.
What is Susan Henley, MD's NPI number? ▼
Susan Henley, MD's National Provider Identifier (NPI) is 1083683049, issued on 03/14/2006.
Does Susan Henley, MD prescribe more brand-name or generic drugs? ▼
Susan Henley, MD's prescribing is 46% brand-name and 49% generic drugs by claim count, with $1.2M in brand drug costs.
Does Susan Henley, MD prescribe opioids? ▼
Yes, Susan Henley, MD had 27 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US? ▼
There are 7,871 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 Susan Henley, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Susan Henley, MD's most frequently prescribed drugs include Synthroid, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Susan Henley, MD accept Medicare? ▼
Susan Henley, MD appears in CMS Medicare data with 2,513 Part D claims and 257 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Susan Henley, MD's credentials? ▼
Susan Henley, MD's NPI is 1083683049 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.
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 May 2026.