Jesse John Susa, MD
NPI 1477901395ActiveIndividual· Family Medicine· Black River Falls, WI
Family Medicine (MD) in Black River Falls, Wisconsin, trained at University of Minnesota Medical School (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $777,636 for 7,459 claims, against $80,948 paid for services in 2024.
Overview
| NPI | 1477901395 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 1, 2016 |
| Last updated in NPPES | Jun 30, 2025 |
| Certified by provider | Jun 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 69790-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 240 |
|---|---|
| Services billed | 3,614 across 143 procedure codes |
| Paid by Medicare | $80,948 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,459 · 15,413 30-day fills |
|---|---|
| Patients | 482 |
| Total drug cost | $777,636 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Family Practice |
Medical group
- Black River Health IncBlack River Falls, WI · 60 clinicians
Hospital affiliation
- Black River Memorial HospitalBlack River Falls, WI
Other facilities
- Interim Healthcare of Western WisconsinHome health agency · Hudson, WI
- St Croix Hospice Eau ClaireHospice · Eau Claire, WI
- Meadowbrook at Black River FallsNursing home · Black River Falls, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 family medicine physicians in Black River Falls · All family medicine physicians in Wisconsin