NPPES file of Aug 9, 2026

Sushama Mody, M.D.

Rheumatology Physician · Secaucus, NJ

Sushama Mody, M.D. is a rheumatology physician with a practice address in Secaucus, New Jersey, and NPI 1760682173, issued on Jul 23, 2007. Check the license (New Jersey 25MA08633800, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1760682173
Name
Sushama Mody
Credential
M.D.
Primary taxonomy
Rheumatology Physician 207RR0500X
License number
25MA08633800 NJ
Self-reported in NPPES; status is on the state search
Practice location
714 10TH St, Secaucus, NJ 07094
Phone
(551) 257-7038
Enumerated
Jul 23, 2007
Record last updated
Dec 14, 2016 (not updated in 10 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20100121000758); accepts Medicare assignment
Medical or professional school
State University Of New York Downstate Medical Center, 2001
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 714 10TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Daniel Akpalu, MDPediatrics Physician1770676033
  2. Anwar Alhaddawi, MDPediatrics Physician1295822153
  3. Naureen Ameen, MDPediatrics Physician1285710574
  4. Julie An, NPFamily Nurse Practitioner1184279572
  5. Palina Antonovich, APNFamily Nurse Practitioner1205235397
  6. Maria Kristen Arce-Fung, MSN, APN, AGNP-CAdult Health Nurse Practitioner1578910279

Verify Sushama Mody in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA08633800
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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38% more Medicare Part D claims than the average rheumatology physician in 2024

2,732 Medicare Part D claims for 515 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. 186 claims were for opioids.

  1. Sushama Mody2,732
  2. Specialty average1,978

Most prescribed

  1. Methotrexate273 claims
  2. Diclofenac Sodium237 claims
  3. Gabapentin206 claims
  4. Prednisone174 claims
  5. Tramadol Hcl173 claims
  6. Celecoxib137 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 84 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score68.7
  2. Costout of 100 · 30%76.5
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $112.54

2 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sushama Mody$112.54
  2. Specialty average$8,538.33

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Optum Medical Care OF New Jersey PCNorth Arlington, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sushama Mody among 253 rheumatology physician records in New Jersey

Sushama Mody, M.D. is one of 253 rheumatology physician records with a practice address in New Jersey. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 46% of them.

  • NPI issued2007 · 46% of these records are older, 44% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated2001 · median 2003 among the 190 with a school on file
  • Record last updated2016 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in New Jersey

There are 253 rheumatology physician records in New Jersey.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Helen Bateman, M.D.Westfield, NJ 070901174527824
  2. Manuela Pedra-Nobre, M.D.Westfield, NJ 070901912939844
  3. Wen Xiong, M.D.Vauxhall, NJ 070881447408216
  4. Jasmine HuertaNewark, NJ 071031396249579
  5. Diane Scarpello, D.O.Union, NJ 070831528072907
  6. Runsheng Wang, M.D.Union, NJ 070831154581700
  7. David Worth, M.D.Union, NJ 070831861406902
  8. Delphine McMaster, M.D.Nutley, NJ 071101992927529

Common questions

What is Sushama Mody, M.D.'s NPI number?

Sushama Mody, M.D.'s National Provider Identifier (NPI) is 1760682173, issued on Jul 23, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Sushama Mody, M.D. located?

The NPPES record lists a practice address at 714 10TH St, Secaucus, NJ, 07094. Phone: (551) 257-7038. Providers update this record themselves, so call before visiting.

How can I verify Sushama Mody, M.D.'s license?

NPPES lists New Jersey license number 25MA08633800, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sushama Mody, M.D. prescribe under Medicare Part D?

In 2024, Sushama Mody, M.D. had 2,732 Medicare Part D claims for 515 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Sushama Mody, M.D.'s MIPS final score?

The 2023 MIPS final score is 84 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.