DR. EDWIN S. HAYASHI M.D.
NPI 1295797397
Surgery in Pismo Beach, CA

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
67.43/100
CMS Quality Rating
921 OAK PARK BLVD STE 201, PISMO BEACH, CA 93449(805) 546-0411(805) 473-4891 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edwin S. Hayashi M.d. NPPES

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

DR. EDWIN S. HAYASHI M.D. (NPI 1295797397) is an individual surgery provider in Pismo Beach, California, licensed in California (G74276) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Luis Obispo, and is a graduate of University Of California, San Francisco School Of Medicine (1990).

NPPES Registry Identity

NPI1295797397
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. EDWIN S. HAYASHICredential: M.D.
Location Address921 OAK PARK BLVD STE 201Pismo Beach, CA 93449-3400
Mailing Address77 Casa St, Suite 103San Luis Obispo, CA 93405-5803 · (805) 546-0411 · Fax (805) 489-1421
Fax(805) 473-4891
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1990
Enumeration DateApril 4, 2006
Last NPPES UpdateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
NPI 1295797397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · G74276
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License G74276 (CA)
921 OAK PARK BLVD STE 201, Pismo Beach, CA 93449

Secondary Practice Location 1

Location 177 Casa St, Suite 103San Luis Obispo, CA 93405-5803 · Phone (805) 546-0411 · Fax (805) 489-1421

Other Identifiers 1

Medicaid00G742760CA

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. Edwin S. Hayashi 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 ID2062461163
PECOS Enrollment IDI20101111000376
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 24

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
563 services400 patients
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.
160 services95 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.
114 services114 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
99 services99 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
98 services98 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.
74 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

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.

67.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.85
Improvement Activities40
Cost82.33

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers16 claims350 services$3.21 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers15 claims380 services$4.70 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
3 suppliers32 claims496 services$2.46 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers14 claims125 services$5.78 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each A4423
DME-Orthotic Devices · category DF010N
1 supplier12 claims480 services$1.68 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims950 services$0.23 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 4

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

Surgery (Vascular Surgery)
921 OAK PARK BLVD STE 201
PISMO BEACH, CA 93449
Surgery
921 OAK PARK BLVD STE 201
PISMO BEACH, CA 93449
Surgery
921 OAK PARK BLVD STE 201
PISMO BEACH, CA 93449
Surgery (Vascular Surgery)
921 OAK PARK BLVD STE 201
PISMO BEACH, CA 93449

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 Edwin Hayashi's NPI number?

The NPI number for Edwin Hayashi is 1295797397. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Edwin Hayashi located?

Edwin Hayashi practices at 921 Oak Park Blvd Ste 201, Pismo Beach, CA 93449. The listed phone number is (805) 546-0411.

What is Edwin Hayashi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edwin Hayashi enrolled in Medicare?

Yes. Edwin Hayashi 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.

When was this NPI record last updated?

The NPPES record for Edwin Hayashi was last updated on February 9, 2023. 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.