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TOMOYOSHI SHIGEMATSU M.D., PH.D.
NPI 1093259368
Neurological Surgery in New York, NY

Active since December 06, 2016PECOS EnrolledAccepts Medicare Assignment
1450 MADISON AVE # 1136, NEW YORK, NY 10029(212) 241-3400(646) 537-2299 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2022, May 14, 2020 (2 updates tracked since 2020).

About Tomoyoshi Shigematsu M.d., Ph.d. NPPES

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

TOMOYOSHI SHIGEMATSU M.D., PH.D. (NPI 1093259368) is an individual neurological surgery provider in New York, New York, licensed in New York (296753) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1093259368
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameTOMOYOSHI SHIGEMATSUCredential: M.D., PH.D.
Location Address1450 MADISON AVE # 1136New York, NY 10029-6508
Mailing Address1450 Madison Ave # 1136New York, NY 10029-6508 · (212) 241-3400 · Fax (646) 537-2299
Phone(212) 241-3400
Fax(646) 537-2299
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 6, 2016
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1093259368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in NY · 296753
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 296753 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1450 MADISON AVE # 1136, New York, NY 10029
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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 and accepts Medicare assignment

Tomoyoshi Shigematsu M.d., Ph.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 ID3577809334
PECOS Enrollment IDI20190320001752
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
81 services29 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.
53 services34 patients
Imaging of blood vessel 75898
Imaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.
27 services18 patients
Review by radiologist of image for insertion of material to block blood flow 75894
This procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.
25 services18 patients
Occlusion of central nervous system or spinal cord artery 61624
This procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.
24 services18 patients
Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist 36227
This procedure involves placing a small tube into an artery in your neck. This is done to diagnose or treat certain conditions. A radiologist, a doctor who specializes in medical imaging, will review the procedure to ensure everything is done correctly.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Elmhurst Hospital Center

Acute Care Hospitals · Elmhurst, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330128
Location79-01 BroadwayElmhurst, NY 11373 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Tomoyoshi Shigematsu's NPI number?

The NPI number for Tomoyoshi Shigematsu is 1093259368. It was assigned to this individual provider in the NPPES registry on December 6, 2016.

Where is Tomoyoshi Shigematsu located?

Tomoyoshi Shigematsu practices at 1450 Madison Ave # 1136, New York, NY 10029. The listed phone number is (212) 241-3400.

What is Tomoyoshi Shigematsu's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Tomoyoshi Shigematsu enrolled in Medicare?

Yes. Tomoyoshi Shigematsu 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 Tomoyoshi Shigematsu affiliated with any hospitals?

According to CMS data, Tomoyoshi Shigematsu is affiliated with Mount Sinai Hospital, Mount Sinai St Luke's Roosevelt Hospital and Elmhurst Hospital Center.

When was this NPI record last updated?

The NPPES record for Tomoyoshi Shigematsu was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.