2026 NPPES data Otolaryngology Physician NPI 1952469165 MD
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SUSAN MATHISON, MD

Otolaryngology Physician in FARGO, North Dakota. 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
499
Medicare Part D claims · 165 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.7K
17 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SUSAN MATHISON, MD is a Otolaryngology Physician ([object Object]) practicing in FARGO, North Dakota with a Medicare Part D prescribing footprint of 499 claims across 165 beneficiaries — 2% brand-name prescribing . Industry payments of $2.7K across 17 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SUSAN MATHISON, MD filed 499 Medicare Part D claims in 2023 across FARGO, North Dakota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SUSAN MATHISON, MD 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 MATHISON, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 12/04/2006

NPI 1952469165

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

499 2% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in North Dakota

How Otolaryngology Physician compares to other specialties among North Dakota providers

North Dakota providers

Otolaryngology Physician share within North Dakota

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within North Dakota

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Otolaryngology 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 MATHISON, MD is a Otolaryngology Physician provider practicing in FARGO, North Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1952469165. 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 MATHISON, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 1800 21ST AVE S, FARGO, ND, 58103, with a listed phone of (701) 365-8700. NPI 1952469165 was issued on 12/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATHISON 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 499 prescription claims written by this provider, covering 165 Medicare beneficiaries and totaling roughly $15K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 7.6%. 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1800 21ST AVE S
FARGO, ND 58103

Provider Details

NPI 1952469165
Specialty Otolaryngology Physician
Credentials MD
Gender Female
NPI Issued 12/04/2006

Hospital and facility affiliations

Facilities where SUSAN MATHISON, 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.

CATALYST MEDICAL CENTER PC
FARGO, ND

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 SUSAN MATHISON, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.7K

Largest payer

Acclarent, 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 · Generic-heavy

SUSAN MATHISON, MD — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 499 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.

499
Total Claims
$15K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
771
Total Day Supply
18,148
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$3K
Generic Drug Cost
$11K
Opioid Claims
38 (7.6% rate)
Antibiotic Claims
75

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.09
Gender Split
73% female / 27% male
Age Distribution
<65: 12, 65-74: 77, 75-84: 60, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Famotidine
76
Ipratropium Bromide
35
Fluticasone Propionate
30
Prednisone
30
Omeprazole
29
Oxycodone Hcl
29
Ofloxacin
26
Cephalexin
24
Mupirocin
24
Azelastine Hcl
19

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

Otolaryngology Physician Overview

How SUSAN MATHISON, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

SUSAN MATHISON, MD's 499 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as MATHISON.

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

Frequently Asked Questions

What is SUSAN MATHISON, MD's specialty?
SUSAN MATHISON, MD specializes in Otolaryngology Physician and practices in FARGO, North Dakota. Credentials: MD.
How much does SUSAN MATHISON, MD prescribe under Medicare Part D?
In 2023, SUSAN MATHISON, MD wrote 499 Medicare Part D claims totaling $15K in drug costs for 165 beneficiaries.
Where is SUSAN MATHISON, MD located?
SUSAN MATHISON, MD is located at 1800 21ST AVE S, FARGO, ND, 58103. Phone: (701) 365-8700.
What is SUSAN MATHISON, MD's NPI number?
SUSAN MATHISON, MD's National Provider Identifier (NPI) is 1952469165, issued on 12/04/2006.
Does SUSAN MATHISON, MD prescribe more brand-name or generic drugs?
SUSAN MATHISON, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $3K in brand drug costs.
Does SUSAN MATHISON, MD prescribe opioids?
Yes, SUSAN MATHISON, MD had 38 opioid claims in 2023 with an opioid prescribing rate of 7.6%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does SUSAN MATHISON, MD prescribe most often?
Based on 2023 Medicare Part D data, SUSAN MATHISON, MD's most frequently prescribed drugs include Famotidine, Ipratropium Bromide, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUSAN MATHISON, MD accept Medicare?
SUSAN MATHISON, MD appears in CMS Medicare data with 499 Part D claims and 165 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUSAN MATHISON, MD's credentials?
SUSAN MATHISON, MD's NPI is 1952469165 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

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