DR. NAOKI MISUMIDA M.D.
NPI 1285075242
Internal Medicine - Interventional Cardiology in Lexington, KY

Q: What is Naoki Misumida's NPI number?

The NPI number for Naoki Misumida is 1285075242. It was assigned to this individual provider in the NPPES registry on July 7, 2013.

Q: What is Naoki Misumida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Naoki Misumida was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 07, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

800 ROSE ST, LEXINGTON, KY 40536(859) 323-0295 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2020, Jun 11, 2020, Jul 2, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Naoki Misumida M.d. NPPES

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

DR. NAOKI MISUMIDA M.D. (NPI 1285075242) is an individual interventional cardiology provider in Lexington, Kentucky, licensed in Kentucky (49269) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1285075242

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. NAOKI MISUMIDACredential: M.D.

Location Address800 ROSE STLexington, KY 40536-0294

Mailing Address900 S Limestone Ctw320Lexington, KY 40536-0001

Phone(859) 323-0295

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 7, 2013

Last NPPES UpdateJuly 28, 20204 updates tracked since enumeration

NPPES CertifiedJuly 28, 2020

✔ NPI 1285075242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in KY · 49269

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 49269 (KY)

800 ROSE ST, Lexington, KY 40536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Dr. Naoki Misumida 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 ID6709110273

PECOS Enrollment IDI20200622002895

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 10

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

66 services21 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

47 services45 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.

46 services32 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.

33 services20 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

23 services16 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Rockcastle County Hospital, Inc.

Acute Care Hospitals · Mount Vernon, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180115

Location145 Newcomb AvenueMount Vernon, KY 40456 · Rockcastle County

Emergency services

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY

2/5 CMS rating

OwnershipProprietary

CMS Certification Number180132

Location305 Langdon StreetSomerset, KY 42503 · Pulaski County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers20 claims20 services$18.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers20 claims20 services$95.68 avg. paid by Medicare

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

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.

DR. JEREMY WAYNE THACKER M.D.

Radiology (Diagnostic Radiology)

800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536

Fayette County (859) 257-4457

DR. KIRK PHILLIP HEITMAN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

800 ROSE ST, MS117
LEXINGTON, KY 40536

Fayette County (859) 257-1446

HARISH RAM MD

Anesthesiology

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-5956

MS. YVONNE P RICE APRN NP-C

Nurse Practitioner (Family)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 218-1779

VANESSA D. SMITH MD

Pathology (Anatomic Pathology)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6183

JASMINE HOWARD APRN

Nurse Practitioner (Acute Care)

800 ROSE ST, MN604
LEXINGTON, KY 40536

Fayette County (859) 323-6047

MITCHELL ALEXANDER MIGUEL M.D.

Hospitalist

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6047

LEAH RAY YEAGER APRN

Nurse Practitioner (Family)

800 ROSE ST, CC417
LEXINGTON, KY 40536

Fayette County (859) 257-1223

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 Naoki Misumida's NPI number?

The NPI number for Naoki Misumida is 1285075242. It was assigned to this individual provider in the NPPES registry on July 7, 2013.

Where is Naoki Misumida located?

Naoki Misumida practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-0295.

What is Naoki Misumida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Naoki Misumida enrolled in Medicare?

Yes. Naoki Misumida 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.

What insurance does Naoki Misumida accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Naoki Misumida as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Naoki Misumida affiliated with any hospitals?

According to CMS data, Naoki Misumida is affiliated with University Of Kentucky Hospital, Rockcastle County Hospital, Inc. and Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Naoki Misumida was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.