Kenny Susanto, MD
NPI 1255783270 · Neurology Physician · Tulsa, OK
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenny Susanto, MD is a Neurology Physician provider in Tulsa, OK (NPI 1255783270).
Provider details
- NPI number
- 1255783270
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 1.065004 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
726 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 189 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 152 | $118 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 84 | $84 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 74 | $172 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 53 | $203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 272 | 78 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa Er | 121 | 30 |
| Amantadine Hclbrand: Amantadine | 96 | 22 |
| Primidone | 56 | 11 |
| Levetiracetam | 41 | — |
| Gabapentin | 41 | — |
| Carbidopa/Levodopabrand: Rytary | 30 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,925 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-02
- Last updated
- 2022-06-27
- Certified
- 2020-07-30
Frequently asked questions
- What is Kenny Susanto's NPI number?
- Kenny Susanto's National Provider Identifier (NPI) is 1255783270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenny Susanto's specialty?
- Kenny Susanto is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenny Susanto located?
- Kenny Susanto's practice location on file with NPPES is 2000 S Wheeling Ave Ste 701, Tulsa, OK 74104-5647.
- What is Kenny Susanto's phone number?
- The practice phone number listed in the NPPES registry for Kenny Susanto is (918) 748-7810.
- Does Kenny Susanto accept Medicare?
- Kenny Susanto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenny Susanto's NPI active?
- Yes — Kenny Susanto's NPI (1255783270) is active in the NPPES registry as of the last update on 2022-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.