DR. DANIEL SUSSMAN MD
NPI 1275571408
Psychiatry & Neurology - Psychiatry in New York, NY
NPI Status: Active since June 02, 2006
Contact Information
1090 AMSTERDAM AVE
SUITE 5K
NEW YORK, NY
ZIP 10025
Phone: (212) 866-8444
Fax: (212) 866-8619
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- PECOS Enrolled
- Medicare Quality Reporting
About DANIEL SUSSMAN
This page provides the complete NPI Profile along with additional information for Daniel Sussman, a provider established in New York, New York with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1275571408 assigned on June 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 158712 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1275571408
- Provider Name
- DR. DANIEL SUSSMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1090 AMSTERDAM AVE SUITE 5K NEW YORK, NY 10025
- Location Phone
- (212) 866-8444
- Location Fax
- (212) 866-8619
- Mailing Address
- 241 W 23RD ST 7A NEW YORK, NY 10011
- Mailing Phone
- (212) 989-8235
- Mailing Fax
- (212) 866-8619
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-02-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A psychiatrist like Daniel Sussman are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 158712
- License State
- NY
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 07E55 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| 01366027 | MEDICAID (05) | NY | |
| A60303 | MEDICARE UPIN (02) | NY |
Medicare Participation & PECOS Enrollment Status
Daniel Sussman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 10025 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $198.19
- Minimum New Patient Price $65.69
- Maximum New Patient Price $198.19
- Average New Patient Copayment $49.54
- Minimum New Patient Copayment $16.42
- Maximum New Patient Copayment $49.54
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $81.44
- Minimum Established Patient Price $21.2
- Maximum Established Patient Price $160.66
- Average Established Patient Copayment $20.36
- Minimum Established Patient Copayment $5.3
- Maximum Established Patient Copayment $40.16
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 100% | 397 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 100% | 351 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 5 | 7 | 1 | 4 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 7 | 2 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 7 + 2 + 4 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1275571408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689675225 | MARGIE DAWN CAMPBELL M.D. Individual | Obstetrics & Gynecology | 1090 AMSTERDAM AVE STE 6A NEW YORK, NY 10025 (212) 523-5179 |
| 1417940305 | DR. RAJAN GURUNATHAN M.D. Individual | Internal Medicine | 1090 AMSTERDAM AVE 4TH FLOOR NEW YORK, NY 10025 (212) 961-5500 |
| 1528053964 | DR. LIZETTE J SMITH M.D. Individual | Internal Medicine (Geriatric Medicine) | 1090 AMSTERDAM AVE 4TH FLOOR NEW YORK, NY 10025 (212) 961-5500 |
| 1629068655 | MR. GENE P MCCULLOUGH RN,NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1090 AMSTERDAM AVE ST.LUKE'S/ROOSEVELT HOSPITAL PSYCHIATRY DEPARTMENT NEW YORK, NY 10025 (917) 596-7336 |
| 1831154087 | ST LUKES-ROOSEVELT HOSPITAL CENTER Organization | Dermatology | 1090 AMSTERDAM AVE NEW YORK, NY 10025 (212) 523-3888 |
| 1497711212 | UPPER WESTSIDE SURGICAL GROUP Organization | Surgery | 1090 AMSTERDAM AVE NEW YORK, NY 10025 (212) 523-2211 |
| 1124071022 | DR. ARUMBI P, SUBRAMANIAM MD Individual | Urology | 1090 AMSTERDAM AVE SUITE 7G NEW YORK, NY 10025 (212) 362-7160 |
| 1457383267 | CLEMENS HEIDERHOFF MD Individual | Psychiatry & Neurology (Psychiatry) | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1174556930 | MICHAEL GRIN MD Individual | Psychiatry & Neurology (Psychiatry) | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1225061013 | YUKO HANAKAWA PHD Individual | Psychologist | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1538193511 | KAREN MERNS PHD Individual | Psychologist | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1295760247 | DR. ANCA AMIGHI MD Individual | Psychiatry & Neurology (Psychiatry) | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1447285184 | JEANNE CUMMINGS NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1487689923 | ZANAB HASAN MD Individual | Psychiatry & Neurology (Psychiatry) | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1376568436 | MARGARET WHITE NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1669497533 | ANDREW TWARDON PHD Individual | Psychologist | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1487679718 | ELIZABETH CHO MD Individual | Psychiatry & Neurology (Psychiatry) | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1366467029 | DR. DONNA M GILMORE MD Individual | Internal Medicine | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1750308623 | REEMON BISHARA MD Individual | Psychiatry & Neurology (Psychiatry) | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
| 1780601559 | PETER FAROL MD Individual | Psychiatry & Neurology (Psychiatry) | 1090 AMSTERDAM AVE SUITE 16C NEW YORK, NY 10025 (212) 523-2965 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275571408, enumerated in the NPI registry as an "individual" on June 02, 2006
The provider is located at 1090 Amsterdam Ave Suite 5k New York, Ny 10025 and the phone number is (212) 866-8444
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $198.19 with an average copayment of $49.54 for new patient appointments. Established patients should expect a typical charge of $81.44 and an average copayment of 20.36. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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