2026 NPPES data Dermatopathology Physician NPI 1871589168 MD
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SUSANA LEAL-KHOURI, MD

Dermatopathology Physician in KEY BISCAYNE, Florida. 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
2K
Medicare Part D claims · 819 beneficiaries · Dermatopathology Physician avg: 650
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.3323/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$48.28
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SUSANA LEAL-KHOURI, MD is a Dermatopathology Physician ([object Object]) practicing in KEY BISCAYNE, Florida with a Medicare Part D prescribing footprint of 2K claims across 819 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 98.3323/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $48.28 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SUSANA LEAL-KHOURI, MD reported a CMS MIPS final score of 98.3323 out of 100, above the 83.1 national average, and filed 1,724 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SUSANA LEAL-KHOURI, 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).

SUSANA LEAL-KHOURI, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/22/2005

NPI 1871589168

Primary specialty

Dermatopathology Physician

Niche

570 US NPIs in this specialty

Medicare Part D claims

1,724 165% vs specialty avg

2023 prescription claims

Specialty avg: 650

MIPS final score

98.3323/100 15.23230000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Dermatopathology Physician compares to other specialties among Florida providers

Florida providers

Dermatopathology Physician share within Florida

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

Medicare quality performance — MIPS

SUSANA LEAL-KHOURI, MD's 2023 MIPS final score plotted against the Dermatopathology Physician national average

High performer (top quartile)
MIPS Final Score
98.3323/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatopathology Physician) — 98.3323/100 vs national avg 83.1

0%100%National avg83%98.3%
MIPS final score (Dermatopathology Physician) — 98.3323/100 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).

SUSANA LEAL-KHOURI, MD is a Dermatopathology Physician provider practicing in KEY BISCAYNE, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1871589168. 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.

SUSANA LEAL-KHOURI, MD appears in the CMS NPPES registry as a Dermatopathology Physician provider holding MD credentials at 580 CRANDON BLVD, KEY BISCAYNE, FL, 33149, with a listed phone of (305) 361-8200. NPI 1871589168 was issued on 09/22/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEAL-KHOURI 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 1,724 prescription claims written by this provider, covering 819 Medicare beneficiaries and totaling roughly $268K in drug spend, split 4% brand-name and 96% generic by claim count. 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 98.3323/100 for the 2023 performance year (Quality 96.6645), compared with the national average of 83.1.

Dermatopathology Physician is a narrow specialty nationwide, with 570 enrolled providers across 48 states and an average of 650 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

580 CRANDON BLVD
KEY BISCAYNE, FL 33149

Provider Details

NPI 1871589168
Specialty Dermatopathology Physician
Credentials MD
Gender Female
NPI Issued 09/22/2005

CMS Quality Score (MIPS)

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

98.3323
Final Score
Avg: 83.1
96.6645
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where SUSANA LEAL-KHOURI, 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.

SUSANA LEAL KHOURI MD PA
KEY BISCAYNE, FL

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 SUSANA LEAL-KHOURI, MD. Source: openpaymentsdata.cms.gov.

Total received

$48

Largest payer

Galderma Laboratories, L.P.

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.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to SUSANA LEAL-KHOURI, MD. To verify SUSANA LEAL-KHOURI, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SUSANA LEAL-KHOURI, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 1,724 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.

1,724
Total Claims
$268K
Total Drug Cost
819
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,786
Total Day Supply
40,604
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$217K
Generic Drug Cost
$51K
Antibiotic Claims
152

Patient Demographics

Average Patient Age
77.7 years
Avg HCC Risk Score
1.62
Gender Split
48% female / 52% male
Age Distribution
<65: 14, 65-74: 295, 75-84: 332, 85+: 178

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Mupirocin
388
Clobetasol Propionate
190
Triamcinolone Acetonide
166
Imiquimod
133
Hydrocortisone
120
Ketoconazole
84
Ciclopirox
64
Azithromycin
59
Fluorouracil
49
Metronidazole
39

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

Dermatopathology Physician Overview

How SUSANA LEAL-KHOURI, MD fits within the Dermatopathology Physician landscape nationally.

570
Dermatopathology Physician Providers in US
48
States with Dermatopathology Physician
650
Avg Claims per Provider

SUSANA LEAL-KHOURI, MD's 1,724 claims are above the specialty average of 650.

Nearby Dermatopathology Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as LEAL-KHOURI.

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

Frequently Asked Questions

What is SUSANA LEAL-KHOURI, MD's specialty?
SUSANA LEAL-KHOURI, MD specializes in Dermatopathology Physician and practices in KEY BISCAYNE, Florida. Credentials: MD.
How much does SUSANA LEAL-KHOURI, MD prescribe under Medicare Part D?
In 2023, SUSANA LEAL-KHOURI, MD wrote 1,724 Medicare Part D claims totaling $268K in drug costs for 819 beneficiaries.
What is SUSANA LEAL-KHOURI, MD's Medicare quality score?
SUSANA LEAL-KHOURI, MD has a CMS MIPS Final Score of 98.3323/100 (Quality: 96.6645). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUSANA LEAL-KHOURI, MD located?
SUSANA LEAL-KHOURI, MD is located at 580 CRANDON BLVD, KEY BISCAYNE, FL, 33149. Phone: (305) 361-8200.
What is SUSANA LEAL-KHOURI, MD's NPI number?
SUSANA LEAL-KHOURI, MD's National Provider Identifier (NPI) is 1871589168, issued on 09/22/2005.
Does SUSANA LEAL-KHOURI, MD prescribe more brand-name or generic drugs?
SUSANA LEAL-KHOURI, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $217K in brand drug costs.
How many Dermatopathology Physician providers are there in the US?
There are 570 Dermatopathology Physician providers across 48 states in the US. The average Dermatopathology Physician provider writes 650 Medicare Part D claims per year.
What drugs does SUSANA LEAL-KHOURI, MD prescribe most often?
Based on 2023 Medicare Part D data, SUSANA LEAL-KHOURI, MD's most frequently prescribed drugs include Mupirocin, Clobetasol Propionate, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUSANA LEAL-KHOURI, MD accept Medicare?
SUSANA LEAL-KHOURI, MD appears in CMS Medicare data with 1,724 Part D claims and 819 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUSANA LEAL-KHOURI, MD's credentials?
SUSANA LEAL-KHOURI, MD's NPI is 1871589168 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.
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