Daniel Sussman, MD
NPI 1316148869 · Gastroenterology Physician · Miami, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Sussman, MD is a Gastroenterology Physician provider in Miami, FL (NPI 1316148869).
Provider details
- NPI number
- 1316148869
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME0101269 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
307 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 68 | $102 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 46 | $70 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 32 | $84 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 27 | $83 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 26 | $105 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 45 | 45 |
| Omeprazole | 44 | 18 |
| Pantoprazole Sodium | 36 | 14 |
| Diphenoxylate Hcl/Atropinebrand: Diphenoxylate-Atropine | 16 | — |
| Sod Picosulf/Mag Ox/Citric Acbrand: Clenpiq | 12 | 12 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 12 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$29 across 1 record (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
- 2007-05-31
- Last updated
- 2013-01-31
Frequently asked questions
- What is Daniel Sussman's NPI number?
- Daniel Sussman's National Provider Identifier (NPI) is 1316148869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Sussman's specialty?
- Daniel Sussman is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Daniel Sussman located?
- Daniel Sussman's practice location on file with NPPES is 1475 Nw 12th Ave, Miami, FL 33136-1002.
- What is Daniel Sussman's phone number?
- The practice phone number listed in the NPPES registry for Daniel Sussman is (305) 243-8644.
- Does Daniel Sussman accept Medicare?
- Daniel Sussman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Sussman's NPI active?
- Yes — Daniel Sussman's NPI (1316148869) is active in the NPPES registry as of the last update on 2013-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.