2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1619183092 M.D.
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SUZANNE BENSON, M.D.

Physical Medicine & Rehabilitation Physician in WARM SPRINGS, Georgia. 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
97
Medicare Part D claims · 25 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
67.1177/100
▼ 16 pts below national avg 83.1 · [object Object]

What the federal data shows

SUZANNE BENSON, M.D. reported a CMS MIPS final score of 67.1177/100 — below the 83.1 national average — and filed 97 Medicare Part D claims in 2023.

67.1177/100
MIPS score · -16 vs avg
97
Part D claims, 2023
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.

SUZANNE BENSON, 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

67 7th percentile higher than 7% 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)

SUZANNE BENSON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 SUZANNE BENSON, M.D.?

Below national average

NPI registry status

Active

Issued 05/15/2007

NPI 1619183092

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

97 88% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

67.1177/100 15.982299999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Physical Medicine & Rehabilitation Physician compares to other specialties among Georgia providers

Georgia providers

Physical Medicine & Rehabilitation Physician share within Georgia

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Georgia

Medicare quality performance — MIPS

SUZANNE BENSON, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
67.1177/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 67.1177/100 vs national avg 83.1

0%100%National avg83%67.1%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 67.1177/100 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).

SUZANNE BENSON, M.D. is a Physical Medicine & Rehabilitation Physician provider practicing in WARM SPRINGS, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1619183092. 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.

SUZANNE BENSON, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 6135 ROOSEVELT HWY, WARM SPRINGS, GA, 31830, with a listed phone of (706) 655-5461. NPI 1619183092 was issued on 05/15/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENSON 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 97 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $7K in drug spend. 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 67.1177/100 for the 2023 performance year (Quality 90, Cost 69.6453), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

6135 ROOSEVELT HWY
WARM SPRINGS, GA 31830

Provider Details

NPI 1619183092
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Female
NPI Issued 05/15/2007

CMS Quality Score (MIPS)

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

67.1177
Final Score
Avg: 83.1
90
Quality
69.6453
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SUZANNE BENSON, M.D. 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.

ROOSEVELT WARM SPRINGS REHABILITATION AND SPECIALTY HOSPITALS INC
WARM SPRINGS, GA
WELLSTAR MEDICAL GROUP LLC
KENNESAW, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

97
Total Claims
$7K
Total Drug Cost
25
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
105
Total Day Supply
2,651
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
2.66

Physical Medicine & Rehabilitation Physician Overview

How SUZANNE BENSON, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

SUZANNE BENSON, M.D.'s 97 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Georgia

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUZANNE BENSON, M.D.'s specialty?
SUZANNE BENSON, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in WARM SPRINGS, Georgia. Credentials: M.D..
How much does SUZANNE BENSON, M.D. prescribe under Medicare Part D?
In 2023, SUZANNE BENSON, M.D. wrote 97 Medicare Part D claims totaling $7K in drug costs for 25 beneficiaries.
What is SUZANNE BENSON, M.D.'s Medicare quality score?
SUZANNE BENSON, M.D. has a CMS MIPS Final Score of 67.1177/100 (Quality: 90, Cost: 69.6453). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUZANNE BENSON, M.D. located?
SUZANNE BENSON, M.D. is located at 6135 ROOSEVELT HWY, WARM SPRINGS, GA, 31830. Phone: (706) 655-5461.
What is SUZANNE BENSON, M.D.'s NPI number?
SUZANNE BENSON, M.D.'s National Provider Identifier (NPI) is 1619183092, issued on 05/15/2007.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
Does SUZANNE BENSON, M.D. accept Medicare?
SUZANNE BENSON, M.D. appears in CMS Medicare data with 97 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUZANNE BENSON, M.D.'s credentials?
SUZANNE BENSON, M.D.'s NPI is 1619183092 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