DR. JONATHAN L I SUSA (D.O.) – Obstetrics & Gynecology Physician, NPI 1295909752
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
797 OBSTETRICS/GYNECOLOGY in WI
Provider Addresses for DR. JONATHAN L I SUSA (D.O.)
2651 HILLCREST DRIVE
HUDSON, WI 540164439
Phone: (715) 531-6800
Fax: (715) 531-6801
Type: Location
403, Stageline Road, Town of Hudson, Saint Croix County, Wisconsin, 54016, United States
HUDSON, WI 540167848
Phone: (715) 531-6800
Fax: (715) 531-6801
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $9,593.
Total Amount is formed as General ($9,593) + Research ($0) + Ownership ($0) = $9,593.
Last reported payment date: 2023-09-28 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($9,593).
Total Amount
$9,593
General + Research + Ownership
Payments
9
Total payment records
General Amount
$9,593
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $9,593 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080913000102 | I | Obstetrics/Gynecology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Diagnostic Radiology | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN |
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