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GLEN ISAMU KOMATSU M.D.
NPI 1114939394
Pain Medicine - Pain Medicine in Rancho Palos Verdes, CA

Active since August 13, 2006PECOS Enrolled
6069 WOODFERN DR, RANCHO PALOS VERDES, CA 90275(310) 375-4585(310) 375-1735 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glen Isamu Komatsu M.d. NPPES

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

GLEN ISAMU KOMATSU M.D. (NPI 1114939394) is an individual pain medicine provider in Rancho Palos Verdes, California, licensed in California (A35086) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1978).

NPPES Registry Identity

NPI1114939394
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameGLEN ISAMU KOMATSUCredential: M.D.
Location Address6069 WOODFERN DRRancho Palos Verdes, CA 90275-2263
Mailing Address6069 Woodfern DrRancho Palos Verdes, CA 90275-2263 · (310) 375-4585 · Fax (310) 375-1735
Phone(310) 375-4585
Fax(310) 375-1735
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1978
Enumeration DateAugust 13, 2006
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1114939394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in CA · A35086
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
6069 WOODFERN DR, Rancho Palos Verdes, CA 90275
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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)

Glen Isamu Komatsu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820060361
PECOS Enrollment IDI20060119000349
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 7

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
135 services59 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
129 services60 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
72 services68 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
43 services43 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
40 services35 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90275 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Glen Komatsu's NPI number?

The NPI number for Glen Komatsu is 1114939394. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Glen Komatsu located?

Glen Komatsu practices at 6069 Woodfern Dr, Rancho Palos Verdes, CA 90275. The listed phone number is (310) 375-4585.

What is Glen Komatsu's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Glen Komatsu enrolled in Medicare?

Yes. Glen Komatsu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glen Komatsu was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.