NPI registry status
Active
2026 NPPES data Obstetrics Physician NPI 1497700389 MD
Verify on CMS → Susan Pacana, MD
Obstetrics Physician in Freehold, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,396 in Obstetrics 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
221
Medicare Part D claims · 85 beneficiaries · Obstetrics Physician avg: 319
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.8/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$1.3K
12 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 Pacana, MD reported a CMS MIPS final score of 75.8/100 - below the 83.1 national average - and filed 221 Medicare Part D claims in 2023.
- 75.8/100
- MIPS score · -7 vs avg
- 221
- Part D claims, 2023
- 89%
- 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 Pacana, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
76 15th percentile higher than 15% 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 Pacana, MD sits
This provider among obstetrics physician peers
Across the 243 obstetrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Susan Pacana, MD writes more Part D claims than 73% of them and scores higher on MIPS quality than 8% - 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 obstetrics physician peer from a representative sample of 60; the gold marker is Susan Pacana, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Susan Pacana, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Pacana, MD?
Below national averagePrimary specialty
Obstetrics Physician
Medicare Part D claims
221 31% vs specialty avg
MIPS final score
75.8/100 7.3 pts vs avg
Specialty distribution in New Jersey
How Obstetrics Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Susan Pacana, MD's 2023 MIPS final score plotted against the Obstetrics Physician national average
- MIPS Final Score
- 75.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Obstetrics Physician) - 75.8/100 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 Pacana, MD appears in the CMS NPPES registry as an Obstetrics Physician provider holding MD credentials at 312 PROFESSIONAL VIEW DR, Freehold, NJ, 07728, with a listed phone of (732) 431-1616. NPI 1497700389 was issued on 05/23/2006.
Medicare Part D records for calendar year 2023 show 221 prescription claims written by this provider, covering 85 Medicare beneficiaries and totaling roughly $18K in drug spend, split 11% brand-name and 89% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.8/100 for the 2023 performance year (Quality 68.7, Cost 50.7), compared with the national average of 83.1.
Obstetrics Physician is a narrow specialty nationwide, with 1,396 enrolled providers across 54 states and an average of 319 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 | 1497700389 |
|---|---|
| Specialty | Obstetrics Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/23/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.8046
Final Score
Avg: 83.1
68.6551
Quality
50.6935
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Susan Pacana, 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.
Hackensack Meridian Health Medical Group - Specialty Care PC
Red Bank, NJ
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 Pacana, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.3K
Largest payer
INTUITIVE SURGICAL, 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 · Typical
Susan Pacana, MD - brand share 11.0%
Obstetrics Physician average
11% brand-name claims vs 89% generic, on 221 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.
221
Total Claims
$18K
Total Drug Cost
85
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 430
- Total Day Supply
- 11,478
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $8K
- Generic Drug Cost
- $10K
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 69.2 years
- Avg HCC Risk Score
- 0.86
- Gender Split
- 100% female / 0% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Susan Pacana, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Estradiol
Estradiol
45 claims
- Ibandronate Sodium
Ibandronate Sodium
23 claims
- Alprazolam 12
Alprazolam
12 claims
- Nystatin 12
Nystatin
12 claims
- Yuvafem 11
Yuvafem
11 claims
| Drug | Claims |
|---|---|
| Estradiol | 45 |
| Ibandronate Sodium | 23 |
| Alprazolam | 12 |
| Nystatin | 12 |
| Yuvafem Estradiol | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Obstetrics Physician Overview
How Susan Pacana, MD fits within the Obstetrics Physician landscape nationally.
1,396
Obstetrics Physician Providers in US
54
States with Obstetrics Physician
319
Avg Claims per Provider
Susan Pacana, MD's 221 claims are below the specialty average of 319.
Nearby Obstetrics Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Pacana.
Dr. Jesus Alvarez-Perez
M.D.
Hackensack, NJ
Dr. Adeola Awomolo
MD
New Brunswick, NJ
Dr. Jonathan Baum
MD
Freehold, NJ
Dr. Jacqueline Blank
D.O.
Basking Ridge, NJ
Dr. Daryl Boffard
M.D.
Union, NJ
Compare Obstetrics 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Obstetrics 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 Pacana, MD's specialty? ▼
Susan Pacana, MD specializes in Obstetrics Physician and practices in Freehold, New Jersey. Credentials: MD.
How much does Susan Pacana, MD prescribe under Medicare Part D? ▼
In 2023, Susan Pacana, MD wrote 221 Medicare Part D claims totaling $18K in drug costs for 85 beneficiaries.
What is Susan Pacana, MD's Medicare quality score? ▼
Susan Pacana, MD has a CMS MIPS Final Score of 75.8/100 (Quality: 68.7, Cost: 50.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Susan Pacana, MD located? ▼
Susan Pacana, MD is located at 312 PROFESSIONAL VIEW DR, Freehold, NJ, 07728. Phone: (732) 431-1616.
What is Susan Pacana, MD's NPI number? ▼
Susan Pacana, MD's National Provider Identifier (NPI) is 1497700389, issued on 05/23/2006.
Does Susan Pacana, MD prescribe more brand-name or generic drugs? ▼
Susan Pacana, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $8K in brand drug costs.
How many Obstetrics Physician providers are there in the US? ▼
There are 1,396 Obstetrics Physician providers across 54 states in the US. The average Obstetrics Physician provider writes 319 Medicare Part D claims per year.
What drugs does Susan Pacana, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Susan Pacana, MD's most frequently prescribed drugs include Estradiol, Ibandronate Sodium, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Susan Pacana, MD accept Medicare? ▼
Susan Pacana, MD appears in CMS Medicare data with 221 Part D claims and 85 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Susan Pacana, MD's credentials? ▼
Susan Pacana, MD's NPI is 1497700389 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.