Susan Decoste, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

71958 Issued in MA

Practice address

90 Libbey Pkwy
Suite 200
Weymouth, MA 02189-3129

Phone

(781) 335-9700

Fax

(781) 335-9709

NPI assigned

Dec 6, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Connecticut School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Coast Dermatology LLCGroup PAC ID 8729025028, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Merit-based Incentive Payment System (MIPS)

Final score

87.07 of 100Reported as individual

Quality

74.14

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Coast Dermatology LLC

  • Specialist
  • Weymouth, MA
  • NPI 1215911383
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1942284591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY",
            "address_2": "SUITE 200",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "781-335-9700",
            "fax_number": "781-335-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY",
            "address_2": "SUITE 200",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "781-335-9700",
            "fax_number": "781-335-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTE",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "71958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070016618",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "4292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "724847",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "J09323",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3063534",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David H. Heller, MD PC
• Michial William Davis
• Marina Davitiani, M.D.
• Alexa Mary Day, RDN
• Ikiah Decas
• Ani Barsoumian Deery, LMHC
• Teresa Degiacomo, M.D.
• Lauren Degraan, OTR/L
• Amy Delaney
• Janmarie Lyn Delaney, OTR/L

• Dermatology Physician in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.