# Benjamin Sussman, DO

Source: https://ourhealthnetwork.com/doctor/benjamin-sussman-do-1477638088
NPI: 1477638088
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Benjamin Sussman, DO is a internal medicine based in Newtown, PA practicing at Capital Health Medical Group with NPI 1477638088 and offers telehealth visits.

## Profile

- Primary specialty: Internal Medicine
- Credential: DO
- Gender: Male
- Graduation year: 2004
- Telehealth: Yes
- NPI: 1477638088 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1477638088))

## Practice and contact

- Practice name: Capital Health Medical Group
- Address: 3 Penns Trl, Newtown, PA, 189401812
- Phone: (215) 504-1761
- Group practice size: 440 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 95.78/100
- Quality category score: 76.76/100
- Promoting Interoperability score: 100.00/100
- Improvement Activities score: 40.00/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (12 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [Highmark BCBS Delaware](https://ourhealthnetwork.com/insurance/highmark-bcbs-delaware) — 10 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 9 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 8 plans
- [Highmark BCBS WV](https://ourhealthnetwork.com/insurance/highmark-bcbs-wv) — 6 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 5 plans
- [Highmark BCBS Pennsylvania](https://ourhealthnetwork.com/insurance/highmark-bcbs-pennsylvania) — 4 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 4 plans
- [UPMC Health Plan](https://ourhealthnetwork.com/insurance/upmc-health-plan) — 4 plans
- [Independence BC](https://ourhealthnetwork.com/insurance/independence-bc) — 3 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 3 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers Benjamin Sussman, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1477638088).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 7 disclosed payments from medical industry sources totaling approximately $120.

Largest disclosed payer: Exact Sciences Corporation ($22 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Internal Medicine doctors in NEWTOWN, PA](https://ourhealthnetwork.com/internal-medicine/pa/newtown)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1477638088)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)