Doctor profile · Federal record
Dr. Sushma Kaul, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Utica, NY
- NPI 1952317091
- Accepts Medicare
- MIPS 77.0 / 100 · 2023
- 40 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
35 Riverside Dr
Utica, NY 135022320
(315) 735-2294
fax (315) 735-2021
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- October 20, 2016
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- New York #189385
- Medicaid
- NY #01853121
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952317091. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,245
Distinct HCPCS
10
Medicare allowed
$157,817
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 480 | 161 | $208 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 206 | 131 | $95 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 112 | 59 | $116 | |
94726 |
Test to determine lung volumes using sensors | 68 | 66 | $12 | |
94729 |
Test to examine how well the lungs exchange gases | 68 | 66 | $9 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 67 | 65 | $10 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 57 | 35 | $77 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 53 | 49 | $64 | |
99443 |
Telephone medical discussion with physician, 21-30 minutes | 39 | 31 | $95 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 30 | 29 | $140 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 97. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$1,630
Transactions
64
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 13 | $280.98 | |
| GlaxoSmithKline, LLC. | 14 | $255.41 | |
| Boston Scientific Corporation | 2 | $144.89 | |
| Actelion Pharmaceuticals US, Inc. | 4 | $132.06 | |
| Phathom Pharmaceuticals, Inc. | 1 | $105.42 | |
| Electromed, Inc. | 5 | $92.79 | |
| Philips North America LLC | 4 | $89.28 | |
| Paratek Pharmaceuticals, Inc. | 4 | $82.13 | |
| Novartis Pharmaceuticals Corporation | 3 | $68.11 | |
| Regeneron Healthcare Solutions, Inc. | 3 | $66.44 | |
| Amgen Inc. | 3 | $64.20 | |
| GENZYME CORPORATION | 3 | $57.89 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 2 | $44.30 | |
| United Therapeutics Corporation | 2 | $40.44 | |
| Astellas Pharma US Inc | 1 | $29.93 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,446
Patients
415
Total drug cost
$1,207,618
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 253 | 55 | $232,138 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 209 | 93 | $10,241 |
| Montelukast Sodium | Generic | 176 | 46 | $1,774 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 121 | 27 | $82,070 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 121 | 40 | $79,912 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 120 | 36 | $75,134 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 98 | 24 | $107,372 |
| Prednisone | Generic | 69 | 33 | $293 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 56 | 13 | $46,143 |
| Azithromycin | Generic | 54 | 32 | $765 |
Hospital affiliations
Frequently asked questions
What is Dr. Sushma Kaul's medical specialty?
Dr. Sushma Kaul practices Pulmonary Disease Physician in Utica, NY.
Where does Dr. Sushma Kaul practice?
Dr. Sushma Kaul practices at 35 Riverside Dr, Utica, NY 135022320. Office phone: 3157352294.
What is Dr. Sushma Kaul's NPI?
Dr. Sushma Kaul's National Provider Identifier (NPI) is 1952317091, issued by NPPES.
Does Dr. Sushma Kaul accept Medicare assignment?
Yes. Dr. Sushma Kaul accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sushma Kaul commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.