Gerard Susmena, OTR/L
NPI 1134362981 · Occupational Therapist · Chicago, IL
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gerard Susmena, OTR/L is a Occupational Therapist provider in Chicago, IL (NPI 1134362981).
Provider details
- NPI number
- 1134362981
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- 056.007.661 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
31 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Evaluation for Occupational Therapy, Typically 45 Minutes97166 | 31 | $102 |
Typical Medicare-allowed amounts for these services range $102–$102 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-09
- Last updated
- 2016-09-14
Frequently asked questions
- What is Gerard Susmena's NPI number?
- Gerard Susmena's National Provider Identifier (NPI) is 1134362981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gerard Susmena's specialty?
- Gerard Susmena is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Gerard Susmena located?
- Gerard Susmena's practice location on file with NPPES is 7434 North Hermitage Avenue #3b, Chicago, IL 60626-1639.
- What is Gerard Susmena's phone number?
- The practice phone number listed in the NPPES registry for Gerard Susmena is (847) 951-0097.
- Does Gerard Susmena accept Medicare?
- Gerard Susmena is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gerard Susmena's NPI active?
- Yes — Gerard Susmena's NPI (1134362981) is active in the NPPES registry as of the last update on 2016-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.