DR. GREGORY TSUSHIMA M.D.
NPI 1033122254
Surgery - Surgery of the Hand in Los Angeles, CA

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
8635 W 3RD ST, LOS ANGELES, CA 90048(310) 967-1884(310) 967-1744 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Tsushima M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY TSUSHIMA M.D. (NPI 1033122254) is an individual surgery of the hand provider in Los Angeles, California, licensed in California (A62277) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1995).

NPPES Registry Identity

NPI1033122254
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameDR. GREGORY TSUSHIMACredential: M.D.
Location Address8635 W 3RD STLos Angeles, CA 90048-6101
Mailing AddressPo Box 54679Los Angeles, CA 90054-0679 · (310) 967-1884 · Fax (310) 967-1744
Fax(310) 967-1744
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1995
Enumeration DateAugust 15, 2006
Last NPPES UpdateAugust 13, 2014
NPI 1033122254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License Licensed in CA · A62277
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
8635 W 3RD ST, Los Angeles, CA 90048

Other Identifiers 1

Medicare UPINH22732CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory Tsushima M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638218670
PECOS Enrollment IDI20091203000497
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
88 services88 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
15 services15 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
8635 W 3RD ST, SUITE 465W
LOS ANGELES, CA 90048
Internal Medicine (Gastroenterology)
8635 W 3RD ST, SUITE #880
LOS ANGELES, CA 90048
Specialist
8635 W 3RD ST, 890W
LOS ANGELES, CA 90048
Specialist
8635 W 3RD ST, 450W
LOS ANGELES, CA 90048
Urology
8635 W 3RD ST, SUITE 460W
LOS ANGELES, CA 90048
Urology
8635 W 3RD ST, SUITE 1 WEST
LOS ANGELES, CA 90048
Surgery (Surgical Critical Care)
8635 W 3RD ST, SUITE 650W
LOS ANGELES, CA 90048
Specialist
8635 W 3RD ST, SUITE 890W
LOS ANGELES, CA 90048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Tsushima's NPI number?

The NPI number for Gregory Tsushima is 1033122254. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Gregory Tsushima located?

Gregory Tsushima practices at 8635 W 3rd St, Los Angeles, CA 90048. The listed phone number is (310) 967-1884.

What is Gregory Tsushima's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Gregory Tsushima enrolled in Medicare?

Yes. Gregory Tsushima is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gregory Tsushima was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.