MICHELE YAMAMOTO M.D.
NPI 1083902464
Internal Medicine - Infectious Disease in Worcester, MA

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment
88.06/100
CMS Quality Rating
55 LAKE AVE. NORTH, WORCESTER, MA 01655(508) 856-2456(508) 856-5981 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michele Yamamoto M.d. NPPES

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

MICHELE YAMAMOTO M.D. (NPI 1083902464) is an individual infectious disease provider in Worcester, Massachusetts, licensed in Massachusetts (253-632) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Guam Regional Medical City, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1083902464
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMICHELE YAMAMOTOCredential: M.D.
Location Address55 LAKE AVE. NORTHWorcester, MA 01655
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 856-2456 · Fax (508) 856-5981
Fax(508) 856-5981
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 19, 2011
Last NPPES UpdateAugust 1, 2016
NPI 1083902464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in MA · 253-632 Licensed in GU · M-1975
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP02156 (RI)
55 LAKE AVE. NORTH, Worcester, MA 01655

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

Michele Yamamoto 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 ID3577791565
PECOS Enrollment IDI20161101002413
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
151 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
138 services58 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
96 services89 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services60 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.
35 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Guam Regional Medical City

Acute Care Hospitals · Dededo, GU
OwnershipVoluntary non-profit - Private
CMS Certification Number650003
Location133 Route 3Dededo, GU 96929 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

88.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.23
Improvement Activities40
Cost74.73

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Acute Care)
55 LAKE AVE. NORTH, UMASS MEMORIAL MEDICAL CENTER UNIVERSITY CAMPUS
WORCESTER, MA 01655

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 Michele Yamamoto's NPI number?

The NPI number for Michele Yamamoto is 1083902464. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Michele Yamamoto located?

Michele Yamamoto practices at 55 Lake Ave. North, Worcester, MA 01655. The listed phone number is (508) 856-2456.

What is Michele Yamamoto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Michele Yamamoto enrolled in Medicare?

Yes. Michele Yamamoto 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.

Is Michele Yamamoto affiliated with any hospitals?

According to CMS data, Michele Yamamoto is affiliated with Guam Regional Medical City.

When was this NPI record last updated?

The NPPES record for Michele Yamamoto was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.