Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kinneret Sussman

Individual provider Physician Assistant · NPI 1689239337

Kinneret Sussman is a Physician Assistant in Lake Katrine, New York. Qualified in 2019, 7 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

1561 Route 9W
Lake Katrine, NY 12449
Phone: (845) 231-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1689239337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2019
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients63
Services billed 584 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Optum Medical Care PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1018 clinicians in the practice; 12 are shown here.

Other providers in Lake Katrine