Sean Sussman, DO
NPI 1316468895 · Family Medicine Physician · Swedesboro, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Sussman, DO is a Family Medicine Physician provider in Swedesboro, NJ (NPI 1316468895).
Provider details
- NPI number
- 1316468895
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 25MB10777400 (NJ)
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
8 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
771 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 | 373 | $134 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 110 | $136 |
| 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 | 80 | $17 |
| Prolonged Preventive Service(s) (beyond the Typical Service Time of the Primary Procedure), in the Office Or Other Outpatient Setting Requiring Direct Patient Contact Beyond the Usual Service; First 30 Minutes (list Separately in Addition to Code for PreveG0513 | 40 | $64 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 30 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 70 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 218 | 64 |
| Atorvastatin Calcium | 188 | 73 |
| Levothyroxine Sodium | 160 | 52 |
| Rosuvastatin Calcium | 108 | 37 |
| Metformin Hcl | 105 | 36 |
| Lisinopril | 99 | 38 |
| Albuterol Sulfate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$581 across 35 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
- 2017-07-05
- Last updated
- 2023-05-15
- Certified
- 2023-05-15
Frequently asked questions
- What is Sean Sussman's NPI number?
- Sean Sussman's National Provider Identifier (NPI) is 1316468895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Sussman's specialty?
- Sean Sussman is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Sussman located?
- Sean Sussman's practice location on file with NPPES is 40 Village Green Dr Ste B, Swedesboro, NJ 08085-3253.
- What is Sean Sussman's phone number?
- The practice phone number listed in the NPPES registry for Sean Sussman is (856) 467-7360.
- Does Sean Sussman accept Medicare?
- Sean Sussman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Sussman's NPI active?
- Yes — Sean Sussman's NPI (1316468895) is active in the NPPES registry as of the last update on 2023-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.