KAREN SUE SHIMOTSU MD
NPI 1043246846
Family Medicine in San Antonio, TX

Q: What is Karen Shimotsu's NPI number?

The NPI number for Karen Shimotsu is 1043246846. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Karen Shimotsu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Shimotsu was last updated on September 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2006PECOS Enrolled

89.92/100

CMS Quality Rating

15102 HUEBNER RD, SAN ANTONIO, TX 78231(210) 493-3993(210) 493-1521 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Karen Sue Shimotsu Md NPPES

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

KAREN SUE SHIMOTSU MD (NPI 1043246846) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (H2779) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043246846

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKAREN SUE SHIMOTSUCredential: MD

Location Address15102 HUEBNER RDSan Antonio, TX 78231-1739

Mailing AddressPo Box 734812Dallas, TX 75373-4812 · (210) 358-9500 · Fax (210) 358-9183

Phone(210) 493-3993

Fax(210) 493-1521

Sole ProprietorNo

Enumeration DateJune 23, 2006

Last NPPES UpdateSeptember 17, 2020

NPPES CertifiedSeptember 17, 2020

✔ NPI 1043246846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · H2779

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15102 HUEBNER RD, San Antonio, TX 78231

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Sue Shimotsu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78231 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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.

89.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.39

Promoting Interoperability

100

Improvement Activities

Cost

62.89

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$7.75 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$2.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

SHWETA BANSAL MD

Internal Medicine (Nephrology)