MASARU JEREMY FISHER M.D.
NPI 1063518868
Psychiatry & Neurology - Psychiatry in San Francisco, CA
About Masaru Jeremy Fisher M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASARU JEREMY FISHER M.D. (NPI 1063518868) is an individual psychiatry provider in San Francisco, California, licensed in California (A80499) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Masaru Jeremy Fisher 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.
Medicare Billing Reassignments
2Medicare enrollment records show Masaru Fisher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94112
- Reassigned Medicare billing, California enrollment
- 1,573 clinicians in this Medicare group
Daly City, CA 94015
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of San Mateo
- 597 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAN FRANCISCO, CA 94112
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 Masaru Fisher's NPI number?
The NPI number for Masaru Fisher is 1063518868. It was assigned to this individual provider in the NPPES registry on September 16, 2006.
Where is Masaru Fisher located?
Masaru Fisher practices at 302 Silver Ave, San Francisco, CA 94112. The listed phone number is (415) 562-2640.
What is Masaru Fisher's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Masaru Fisher enrolled in Medicare?
Yes. Masaru Fisher 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.
Which organizations bill Medicare for Masaru Fisher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Masaru Fisher reassigns Medicare benefits to 2 organizations: City & County Of San Francisco (San Francisco, CA) and San Mateo County (Daly City, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Masaru Fisher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Masaru Fisher was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Masaru Jeremy Fisher, M.D. · NPI 1063518868
Psychiatry physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1063518868 (Entity type: Individual)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A80499 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 302 SILVER AVE, San Francisco, CA 94112-1510
- **Phone:** (415) 562-2640
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): City & County Of San Francisco (NPI 1639272008, San Francisco, CA); San Mateo County (NPI 1053367854, Daly City, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2001
## Record status
- **NPPES last updated:** September 17, 2012
- **Other identifiers:** Medicare UPIN H74212 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1063518868) · Data from the CMS NPPES public registry.