DR. MIDORI JANE NISHIO M.D.
NPI 1316010366
Internal Medicine - Rheumatology in Walnut Creek, CA

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1450 TREAT BLVD, STE 200, WALNUT CREEK, CA 94597(925) 280-9400(925) 256-0448 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Midori Jane Nishio M.d. NPPES

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

DR. MIDORI JANE NISHIO M.D. (NPI 1316010366) is an individual rheumatology provider in Walnut Creek, California, licensed in California (G50284) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1982).

NPPES Registry Identity

NPI1316010366
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MIDORI JANE NISHIOCredential: M.D.
Location Address1450 TREAT BLVD, STE 200Walnut Creek, CA 94597-2168
Mailing Address1450 Treat Blvd, Ste 300Walnut Creek, CA 94597-2168
Fax(925) 256-0448
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1982
Enumeration DateNovember 16, 2006
Last NPPES UpdateMay 25, 2016
NPI 1316010366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · G50284
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1450 TREAT BLVD, Walnut Creek, CA 94597

Other Identifiers 3

Medicare UPINA51626CA
OtherP00159844CA · Railroad Medicare
Medicare ID-Type Unspecified00G502840CA · Medicare

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. Midori Jane Nishio 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 ID6406805431
PECOS Enrollment IDI20050118000294
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 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
86 services31 patients
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.
68 services57 patients
Complete ultrasound scan of joint 76881
A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.
31 services27 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.
21 services15 patients
Aspiration and/or injection of fluid from small joint using ultrasound guidance 20604
This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94597 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Reported Quality Measures

Breast Cancer Screening
83%58 patients4/55-star benchmark: 93%
Cervical Cancer Screening
58%50 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
75%99 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
80%51 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%244 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
62%92 patients3/55-star benchmark: 100%
HIV Screening
40%85 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%167 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
43%98 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 93% · 41 patients
85%41 patients
Provide Patients Electronic Access to Their Health Information
100%47 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%67 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
1450 TREAT BLVD, SUITE 120B
WALNUT CREEK, CA 94597
Internal Medicine (Cardiovascular Disease)
1450 TREAT BLVD, SUITE 220B
WALNUT CREEK, CA 94597
Family Medicine
1450 TREAT BLVD, SUITE 160
WALNUT CREEK, CA 94597
Family Medicine
1450 TREAT BLVD, SUITE 160
WALNUT CREEK, CA 94597
Family Medicine
1450 TREAT BLVD, SUITE 120B
WALNUT CREEK, CA 94597
Internal Medicine
1450 TREAT BLVD, SUITE 120A
WALNUT CREEK, CA 94597
Pediatrics
1450 TREAT BLVD, SUITE 140
WALNUT CREEK, CA 94597
Pediatrics
1450 TREAT BLVD, SUITE 140
WALNUT CREEK, CA 94597

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 Midori Nishio's NPI number?

The NPI number for Midori Nishio is 1316010366. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Midori Nishio located?

Midori Nishio practices at 1450 Treat Blvd Ste 200, Walnut Creek, CA 94597. The listed phone number is (925) 280-9400.

What is Midori Nishio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Midori Nishio enrolled in Medicare?

Yes. Midori Nishio 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 Midori Nishio was last updated on May 25, 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.