Doctor profile · Federal record
Dr. Kenneth Susman, M.D.
Specialist (CMS: General Surgery) · Fort Bragg, CA
- NPI 1962551119
- Accepts Medicare
- MIPS 72.1 / 100 · 2023
- 38 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
510 Cypress St, Suite B
Fort Bragg, CA 954375411
(707) 961-1972
fax (707) 961-1978
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1988 — 38 yrs since
- Specialty taxonomy
- 174400000X — NUCC code
- State license (1)
- California #G679520
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962551119. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,058
Distinct HCPCS
10
Medicare allowed
$65,964
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 590 | 67 | $7 | |
17000 |
Destruction of precancer skin growth, 1 growth | 131 | 76 | $70 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 56 | 43 | $93 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $169 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 43 | 43 | $250 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 35 | 35 | $183 | |
17004 |
Destruction of precancer skin growth, 15 or more growths | 33 | 17 | $177 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 27 | 27 | $182 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 27 | 24 | $131 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 23 | 23 | $110 |
In context: peer comparison
Among 1 peers in Fort Bragg Specialist, average services per provider: 81. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$81
Transactions
4
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organogenesis INC. | 4 | $80.71 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
60
Patients
59
Total drug cost
$1,173
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 34 | 33 | $639 |
| Gavilyte-C (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 26 | 26 | $534 |
Frequently asked questions
What is Dr. Kenneth Susman's medical specialty?
Dr. Kenneth Susman practices Specialist in Fort Bragg, CA.
Where does Dr. Kenneth Susman practice?
Dr. Kenneth Susman practices at 510 Cypress St, Fort Bragg, CA 954375411. Office phone: 7079611972.
What is Dr. Kenneth Susman's NPI?
Dr. Kenneth Susman's National Provider Identifier (NPI) is 1962551119, issued by NPPES.
Does Dr. Kenneth Susman accept Medicare assignment?
Yes. Dr. Kenneth Susman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Susman commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Destruction of precancer skin growth, 1 growth (HCPCS 17000); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.