Active NPI 1831190990 Individual Practitioner Male Practitioner

Dr. Robert Sussman , MD

Specialist • Summit, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Robert Sussman, MD is a registered healthcare professional specializing in Specialist in Summit, NJ. Practice services are available at 1 SPRINGFIELD AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, test to measure expiratory airflow and volume, test to examine how well the lungs exchange gases. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Springfield Ave
First Floor

Summit, NJ 079014055

Telephone 9089340555

Fax 9089040556

Associated Practice Facility / Clinic

🏢 Pulmonary & Allergy Associates, Pa Facility NPI 1346280518

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Summit, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 34.0 Yrs

State Avg: 35.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Summit, NJ (1802 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	65	$363.00	$139.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$487.00	$194.90
94010 Test to measure expiratory airflow and volume	11	11	$127.00	$29.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	188	$363.00	$140.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	77	$487.00	$196.71
94010 Test to measure expiratory airflow and volume	46	44	$107.63	$26.16
94729 Test to examine how well the lungs exchange gases	38	38	$125.95	$40.42
94060 Test to measure expiratory airflow and volume changes before and after medication administration	33	33	$126.39	$27.11
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$247.00	$99.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$551.00	$183.26
94726 Determination of lung volumes using plethysmography	18	18	$120.00	$34.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	234	$363.00	$142.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	169	132	$487.00	$201.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$551.00	$183.70
94729 Test to examine how well the lungs exchange gases	60	56	$31.00	$9.64
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$247.00	$98.73
94010 Test to measure expiratory airflow and volume	37	33	$28.00	$8.92
94726 Determination of lung volumes using plethysmography	36	34	$45.00	$12.98
94060 Test to measure expiratory airflow and volume changes before and after medication administration	34	34	$43.00	$11.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$691.00	$246.79
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$369.00	$144.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	505	347	$363.00	$145.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	188	128	$487.00	$202.41
94729 Test to examine how well the lungs exchange gases	116	112	$35.24	$11.39
94060 Test to measure expiratory airflow and volume changes before and after medication administration	84	83	$49.14	$12.78
94726 Determination of lung volumes using plethysmography	71	71	$50.49	$15.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$551.00	$188.21
99213 Established patient office or other outpatient visit, typically 15 minutes	68	63	$247.00	$102.15
94010 Test to measure expiratory airflow and volume	52	47	$28.00	$9.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$691.00	$248.10
99443 Telephone medical discussion with physician, 21-30 minutes	44	37	$369.00	$146.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	359	$363.00	$122.82
99213 Established patient office or other outpatient visit, typically 15 minutes	149	132	$246.09	$85.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	83	$486.14	$164.93
99443 Telephone medical discussion with physician, 21-30 minutes	86	74	$262.95	$123.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$549.13	$183.32
94729 Test to examine how well the lungs exchange gases	40	40	$30.13	$10.12
94010 Test to measure expiratory airflow and volume	32	32	$27.09	$9.35
94060 Test to measure expiratory airflow and volume changes before and after medication administration	28	28	$42.07	$14.42
94726 Determination of lung volumes using plethysmography	27	27	$39.22	$13.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$690.09	$232.72
99442 Telephone medical discussion with physician, 11-20 minutes	22	22	$157.50	$85.30
99423 Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes	12	12	$165.00	$54.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	778	488	$363.00	$120.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	325	207	$486.00	$161.20
94729 Test to examine how well the lungs exchange gases	193	188	$31.71	$10.27
94010 Test to measure expiratory airflow and volume	191	176	$39.96	$13.26
94726 Determination of lung volumes using plethysmography	154	153	$40.01	$13.75
94060 Test to measure expiratory airflow and volume changes before and after medication administration	134	134	$45.90	$14.64
99213 Established patient office or other outpatient visit, typically 15 minutes	127	110	$246.00	$82.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$549.00	$180.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	100	100	$690.00	$228.29
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	32	26	$48.00	$16.39
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	27	26	$80.00	$31.41
94618 Test for exercise-induced lung stress	22	22	$75.00	$24.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	891	518	$333.15	$118.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	347	208	$457.87	$159.49
94010 Test to measure expiratory airflow and volume	274	249	$31.18	$10.54
95004 Test for allergy using allergenic extract	254	14	$17.96	$6.13
94729 Test to examine how well the lungs exchange gases	234	228	$30.71	$10.27
94726 Determination of lung volumes using plethysmography	208	207	$39.67	$13.69
99213 Established patient office or other outpatient visit, typically 15 minutes	175	143	$227.47	$80.58
94060 Test to measure expiratory airflow and volume changes before and after medication administration	136	136	$46.71	$14.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	118	118	$656.67	$226.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$510.82	$180.68
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	30	20	$48.00	$15.72
94618 Test for exercise-induced lung stress	28	27	$77.25	$24.15
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	14	14	$80.00	$30.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	996	531	$233.30	$118.06
94010 Test to measure expiratory airflow and volume	229	203	$24.00	$9.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	227	143	$336.00	$157.70
99213 Established patient office or other outpatient visit, typically 15 minutes	219	168	$149.00	$80.81
94729 Test to examine how well the lungs exchange gases	178	171	$20.18	$9.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$383.00	$179.03
94726 Determination of lung volumes using plethysmography	153	150	$27.90	$13.26
94060 Test to measure expiratory airflow and volume changes before and after medication administration	111	111	$44.13	$14.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	83	83	$488.82	$223.43
94620 Pulmonary exercise testing	26	24	$90.00	$32.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$152.00	$77.68
95004 Test for allergy using allergenic extract	11	11	$13.00	$7.81

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MA04968100

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Horizon Bc

222233003 (NJ)

Commercial Insurance / Payer ID Empire Health

25F581 (NJ)

Commercial Insurance / Payer ID Chn Ins.

121410 (NJ)

Commercial Insurance / Payer ID Oxford Ins.

ES259 (NJ)

Commercial Insurance / Payer ID Cigna Ins.

222233003007 (NJ)

Commercial Insurance / Payer ID Aetna Ins

4116257 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Sarah Barnett , NP

Nurse Practitioner - Adult Health

NPI 1043646391

Nurse Practitioner

Dr. Nisha Kotecha , MBBS

Internal Medicine - Critical Care Medicine

NPI 1073873956

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Melissa Lesko , DO

Internal Medicine - Pulmonary Disease

NPI 1114230240

Doctor of Osteopathic Medicine (D.O.)

Dr. Federico Cerrone , MD

Internal Medicine - Sleep Medicine

NPI 1184625220

Doctor of Medicine (M.D.)

Stephen Husch

Physician Assistant

NPI 1235978784

Dr. Jonathan Glatt , MD

Internal Medicine - Pulmonary Disease

NPI 1245763275

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 03, 2017

Registered at PO BOX 416457, BOSTON, MA 022416457

📍

Updated Practice Location February 03, 2017

Registered at 1 SPRINGFIELD AVE, FIRST FLOOR, SUMMIT, NJ 079014055 (Tel: 9089340555)

👤

Provider Name / Credentials Updated February 03, 2017

Recorded as ROBERT SUSSMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Specialist (License #25MA04968100 in NJ)

✅

NPI Profile Active March 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2011

Registered at 1 SPRINGFIELD AVE, FIRST FLOOR, SUMMIT, NJ 079014055 (Tel: 9089340555)

📍

Updated Business Mailing Address March 14, 2011

Registered at 1 SPRINGFIELD AVE, FIRST FLOOR, SUMMIT, NJ 079014055 (Tel: 9089340555)

👤

Provider Name / Credentials Updated March 14, 2011

Recorded as ROBERT SUSSMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2011

Specialist (License #25MA04968100 in NJ)

🟢

Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831190990

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 10, 2005

Last Update: February 03, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 416457

Boston, MA 022416457

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.