NPI registry status
Active
2026 NPPES data Dermatopathology Physician NPI 1548200074 D.O.
Verify on CMS → Susan Kelly, D.O.
Dermatopathology Physician in North Kingstown, Rhode Island.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 577 in Dermatopathology 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
494
Medicare Part D claims · 247 beneficiaries · Dermatopathology Physician avg: 695
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 84 pts below national avg 83.5 · Penalty band
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Susan Kelly, D.O. reported a CMS MIPS final score of 0/100 - below the 83.5 national average - and filed 494 Medicare Part D claims in 2024.
- 0/100
- MIPS score · -83 vs avg
- 494
- Part D claims, 2024
- 93%
- 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 Susan Kelly, D.O.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1548200074), first enumerated 06/06/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 494 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)
Reported a CMS MIPS final score of 0/100 in the Quality Payment Program — a federal quality measure, not a patient review.
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.
- 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 1548200074 · Dermatopathology Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1548200074
- ENUM-LEGACY 2006
- TAX-NARROW 577
- MIPS-LOW 0/100
- RX-LIGHT 494
- BOOK-THIN 3 in Rhode Island
- PHOTO-FINISH Miriam Casal · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kelly · this pro… 0
Kelly · this provider
0 MIPS pts
- Richard Parkinso… 0
Richard Parkinson
0 MIPS pts
- Miriam Casal · n… 0
Miriam Casal
0 MIPS pts
- Marta Hampton · … 0
Marta Hampton
0 MIPS pts
- Robert Herten · … 0
Robert Herten
0 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Susan Kelly, D.O.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
0 ≥ 0th percentile 0% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Susan Kelly, D.O. sits
This provider among dermatopathology physician peers
Across the 185 dermatopathology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Susan Kelly, D.O. writes more Part D claims than 46% of them and scores higher on MIPS quality than 0% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one dermatopathology physician peer from a representative sample of 60; the gold marker is Susan Kelly, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Susan Kelly, D.O. 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 Kelly, D.O.?
Below national averagePrimary specialty
Dermatopathology Physician
Medicare Part D claims
494 29% vs specialty avg
MIPS final score
0/100 83.5 pts vs avg
Specialty distribution in Rhode Island
How Dermatopathology Physician compares to other specialties among Rhode Island providers
Medicare quality performance, MIPS
Susan Kelly, D.O.'s 2023 MIPS final score plotted against the Dermatopathology Physician national average
- MIPS Final Score
- 0/100
- vs 83.5 national avg · 2023 performance year
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 | 1548200074 |
|---|---|
| Specialty | Dermatopathology Physician |
| Credentials | D.O. |
| Gender | Female |
| NPI Issued | 06/06/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Measured-score avg: 83.5
0
Quality
Reporting: Individual
Brand vs generic prescribing mix · Generic-heavy
Susan Kelly, D.O. - brand share 7.0%
Dermatopathology Physician average
7% brand-name claims vs 93% generic, on 494 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.
494
Total Claims
$10K
Total Drug Cost
247
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 556.167
- Total Day Supply
- 12,213
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $8K
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 76.3 years
- Avg HCC Risk Score
- 0.92
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Susan Kelly, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Mupirocin
Mupirocin
100 claims
- Betamethasone Vale…
Betamethasone Valerate
96 claims
- Doxycycline Hyclate
Doxycycline Hyclate
47 claims
- Valacyclovir 36
Valacyclovir
36 claims
- Ketoconazole 29
Ketoconazole
29 claims
- Fluorouracil 21
Fluorouracil
21 claims
- Triamcinolone Acet… 21
Triamcinolone Acetonide
21 claims
- Prednisone 20
Prednisone
20 claims
| Drug | Claims |
|---|---|
| Mupirocin | 100 |
| Betamethasone Valerate | 96 |
| Doxycycline Hyclate | 47 |
| Valacyclovir Valacyclovir Hcl | 36 |
| Ketoconazole | 29 |
| Fluorouracil | 21 |
| Triamcinolone Acetonide | 21 |
| Prednisone | 20 |
| Clobetasol Propionate | 18 |
| Cephalexin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Dermatopathology Physician Overview
How Susan Kelly, D.O. fits within the Dermatopathology Physician landscape nationally.
577
Dermatopathology Physician Providers in US
48
States with Dermatopathology Physician
695
Avg Claims per Provider
Susan Kelly, D.O.'s 494 claims are below the specialty average of 695.
Nationwide Dermatopathology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Kelly, both outside Rhode Island so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (0 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Dermatopathology Physician Providers in Rhode Island
Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as Kelly.
One of 3 Dermatopathology Physician providers enrolled in Rhode Island, 2 are shown here.
Compare Dermatopathology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Susan Kelly, D.O.'s specialty? ▼
Susan Kelly, D.O. specializes in Dermatopathology Physician and practices in North Kingstown, Rhode Island. Credentials: D.O..
How much does Susan Kelly, D.O. prescribe under Medicare Part D? ▼
In 2024, Susan Kelly, D.O. wrote 494 Medicare Part D claims totaling $10K in drug costs for 247 beneficiaries.
What is Susan Kelly, D.O.'s Medicare quality score? ▼
Susan Kelly, D.O. has a CMS MIPS Final Score of 0/100 (Quality: 0). 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 Susan Kelly, D.O. located? ▼
Susan Kelly, D.O. is located at 7 WEAVER RD, North Kingstown, RI, 02852. Phone: (401) 667-0905.
What is Susan Kelly, D.O.'s NPI number? ▼
Susan Kelly, D.O.'s National Provider Identifier (NPI) is 1548200074, issued on 06/06/2006.
Does Susan Kelly, D.O. prescribe more brand-name or generic drugs? ▼
Susan Kelly, D.O.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $2K in brand drug costs.
How many Dermatopathology Physician providers are there in the US? ▼
There are 577 Dermatopathology Physician providers across 48 states in the US. The average Dermatopathology Physician provider writes 695 Medicare Part D claims per year.
What drugs does Susan Kelly, D.O. prescribe most often? ▼
Based on 2024 Medicare Part D data, Susan Kelly, D.O.'s most frequently prescribed drugs include Mupirocin, Betamethasone Valerate, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Susan Kelly, D.O. accept Medicare? ▼
Susan Kelly, D.O. appears in CMS Medicare data with 494 Part D claims and 247 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Susan Kelly, D.O.'s credentials? ▼
Susan Kelly, D.O.'s NPI is 1548200074 with credentials D.O.. 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.