2026 NPPES data Internal Medicine Physician NPI 1285648485 M.D.
Verify on CMS →

SUSAN LANINGHAM, M.D.

Internal Medicine Physician in GRAND JUNCTION, Colorado. 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
7K
Medicare Part D claims · 412 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
69.394/100
▼ 14 pts below national avg 83.1 · [object Object]

What the federal data shows

SUSAN LANINGHAM, M.D. reported a CMS MIPS final score of 69.394/100 — below the 83.1 national average — and filed 7,268 Medicare Part D claims in 2023.

69.394/100
MIPS score · -14 vs avg
7K
Part D claims, 2023
82%
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 LANINGHAM, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

69 8th percentile higher than 8% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

SUSAN LANINGHAM, M.D. 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 LANINGHAM, M.D.?

Below national average

NPI registry status

Active

Issued 07/27/2006

NPI 1285648485

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

7,268 168% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

69.394/100 13.705999999999989% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Colorado

How Internal Medicine Physician compares to other specialties among Colorado providers

Colorado providers

Internal Medicine Physician share within Colorado

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

Medicare quality performance — MIPS

SUSAN LANINGHAM, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
69.394/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 69.394/100 vs national avg 83.1

0%100%National avg83%69.4%
MIPS final score (Internal Medicine Physician) — 69.394/100 vs national avg 83.1

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 LANINGHAM, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 2754 COMPASS DR STE 377, GRAND JUNCTION, CO, 81506, with a listed phone of (970) 257-2401. NPI 1285648485 was issued on 07/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LANINGHAM 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 7,268 prescription claims written by this provider, covering 412 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 5.2%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 69.394/100 for the 2023 performance year (Quality 57.3444, Cost 49.0396), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

2754 COMPASS DR STE 377
GRAND JUNCTION, CO 81506

Provider Details

NPI 1285648485
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 07/27/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

69.394
Final Score
Avg: 83.1
57.3444
Quality
49.0396
Cost
81
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

SUSAN LANINGHAM, M.D. — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 7,268 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.

7,268
Total Claims
$1.1M
Total Drug Cost
412
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,844
Total Day Supply
434,107
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$989K
Generic Drug Cost
$149K
Opioid Claims
381 (5.2% rate)
Antibiotic Claims
83

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.30
Gender Split
63% female / 37% male
Age Distribution
<65: 32, 65-74: 167, 75-84: 142, 85+: 71

Top Prescribed Drugs (Medicare Part D)

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

What SUSAN LANINGHAM, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
339
Gabapentin
228
Rosuvastatin Calcium
214
Losartan Potassium
207
Atorvastatin Calcium
198
Lisinopril
193
Duloxetine Hcl
163
Pantoprazole Sodium
152
Amlodipine Besylate
150
Fluticasone Propionate
142

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

Internal Medicine Physician Overview

How SUSAN LANINGHAM, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

SUSAN LANINGHAM, M.D.'s 7,268 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Colorado

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUSAN LANINGHAM, M.D.'s specialty?
SUSAN LANINGHAM, M.D. specializes in Internal Medicine Physician and practices in GRAND JUNCTION, Colorado. Credentials: M.D..
How much does SUSAN LANINGHAM, M.D. prescribe under Medicare Part D?
In 2023, SUSAN LANINGHAM, M.D. wrote 7,268 Medicare Part D claims totaling $1.1M in drug costs for 412 beneficiaries.
What is SUSAN LANINGHAM, M.D.'s Medicare quality score?
SUSAN LANINGHAM, M.D. has a CMS MIPS Final Score of 69.394/100 (Quality: 57.3444, Cost: 49.0396). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUSAN LANINGHAM, M.D. located?
SUSAN LANINGHAM, M.D. is located at 2754 COMPASS DR STE 377, GRAND JUNCTION, CO, 81506. Phone: (970) 257-2401.
What is SUSAN LANINGHAM, M.D.'s NPI number?
SUSAN LANINGHAM, M.D.'s National Provider Identifier (NPI) is 1285648485, issued on 07/27/2006.
Does SUSAN LANINGHAM, M.D. prescribe more brand-name or generic drugs?
SUSAN LANINGHAM, M.D.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $989K in brand drug costs.
Does SUSAN LANINGHAM, M.D. prescribe opioids?
Yes, SUSAN LANINGHAM, M.D. had 381 opioid claims in 2023 with an opioid prescribing rate of 5.2%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does SUSAN LANINGHAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SUSAN LANINGHAM, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Gabapentin, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUSAN LANINGHAM, M.D. accept Medicare?
SUSAN LANINGHAM, M.D. appears in CMS Medicare data with 7,268 Part D claims and 412 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUSAN LANINGHAM, M.D.'s credentials?
SUSAN LANINGHAM, M.D.'s NPI is 1285648485 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.
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