Doctor profile · Federal record
Dr. Kenny Susanto, MD
Neurology Physician (CMS: Neurology) · Neurology Physician · Neurology Physician · Tulsa, OK
- NPI 1255783270
- Accepts Medicare
- MIPS 87.1 / 100 · 2023
- 14 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2000 S Wheeling Ave Ste 701
Tulsa, OK 741045647
(918) 748-7810
Credentials & registration
- NPI registered
- July 2016 — 10 yrs on file
- Profile last updated
- June 27, 2022
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 2084N0400X — NUCC code
- State licenses (3)
- Oklahoma #38794 · Connecticut #1.065004 · Georgia #008863
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255783270. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
416
Distinct HCPCS
8
Medicare allowed
$59,608
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 117 | 80 | $165 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 78 | 55 | $116 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 73 | 73 | $205 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $147 | |
95886 |
Needle measurement of electrical activity in arm or leg muscles, complete study | 32 | 21 | $86 | |
95885 |
Needle measurement of electrical activity in arm or leg muscles, limited study | 30 | 12 | $56 | |
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 14 | 12 | $30 | |
95912 |
Nerve conduction, 11-12 studies | 13 | 13 | $211 |
In context: peer comparison
Among 17 peers in this city , average services per provider: 629. This provider delivers 0.7× the peer median.Open Payments
Industry payments received
All-time total
$1,925
Transactions
14
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 14 | $1,924.59 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
562
Patients
150
Total drug cost
$55,835
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Carbidopa-Levodopa (Carbidopa/Levodopa) | Brand | 178 | 53 | $10,226 |
| Amantadine (Amantadine Hcl) | Brand | 72 | 20 | $4,628 |
| Carbidopa-Levodopa Er (Carbidopa/Levodopa) | Brand | 56 | 14 | $3,055 |
| Gabapentin | Generic | 47 | 16 | $691 |
| Levetiracetam | Generic | 40 | 11 | $1,693 |
| Primidone | Generic | 40 | 14 | $726 |
| Memantine Hcl | Generic | 21 | 11 | $722 |
| Donepezil Hcl | Generic | 18 | 0 | $253 |
| Topiramate | Generic | 18 | 11 | $343 |
| Venlafaxine Hcl Er (Venlafaxine Hcl) | Brand | 18 | 0 | $260 |
Frequently asked questions
What is Dr. Kenny Susanto's medical specialty?
Dr. Kenny Susanto practices Neurology Physician in Tulsa, OK.
Where does Dr. Kenny Susanto practice?
Dr. Kenny Susanto practices at 2000 S Wheeling Ave Ste 701, Tulsa, OK 741045647. Office phone: 9187487810.
What is Dr. Kenny Susanto's NPI?
Dr. Kenny Susanto's National Provider Identifier (NPI) is 1255783270, issued by NPPES.
Does Dr. Kenny Susanto accept Medicare assignment?
Yes. Dr. Kenny Susanto accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenny Susanto commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99205). Source: CMS Medicare Physician & Other Practitioners file.