DR. HIROYUKI YOSHIHARA M.D., PH.D.
NPI 1316102650
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Lynchburg, VA

Q: What is Hiroyuki Yoshihara's NPI number?

The NPI number for Hiroyuki Yoshihara is 1316102650. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Q: What is Hiroyuki Yoshihara's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since July 25, 2008PECOS EnrolledAccepts Medicare Assignment

93.49/100

CMS Quality Rating

2405 ATHERHOLT ROAD, LYNCHBURG, VA 24501(434) 485-8517(434) 485-8594 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2023, Dec 28, 2022 (2 updates tracked since 2022).

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About Dr. Hiroyuki Yoshihara M.d., Ph.d. NPPES

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

DR. HIROYUKI YOSHIHARA M.D., PH.D. (NPI 1316102650) is an individual orthopaedic surgery of the spine provider in Lynchburg, Virginia, licensed in Virginia (0101277172) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1316102650

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. HIROYUKI YOSHIHARACredential: M.D., PH.D.

Location Address2405 ATHERHOLT ROADLynchburg, VA 24501-2184

Mailing AddressPo Box 715868Philadelphia, PA 19171-2012 · (804) 915-1910

Phone(434) 485-8517

Fax(434) 485-8594

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 25, 2008

Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2023

✔ NPI 1316102650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Licenses✔ Licensed in VA · 0101277172✔ Licensed in NY · 268249

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

2405 ATHERHOLT ROAD, Lynchburg, VA 24501

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Other Identifiers 1

Medicaid03721400NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hiroyuki Yoshihara 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 ID749419323

PECOS Enrollment IDI20140130000901

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.

Medicare Billing Reassignments

Medicare enrollment records show Hiroyuki Yoshihara reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physicians Of Brooklyn, Inc.

359 mi

Ophthalmology

1520 FLATBUSH AVE
Brooklyn, NY 11210

Reassigned Medicare billing, New York enrollment
291 clinicians in this Medicare group

NPI 1497709901 (718) 270-1714

Inwood Community Health Center

367 mi

Clinic/Center

270 LAWRENCE AVE.
Inwood, NY 11096

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Nassau Health Care Corporation
553 clinicians in this Medicare group

NPI 1881619708 (516) 571-7874

North Shore - Lij Medical PC

374 mi

Internal Medicine

270-05 76TH AVE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

39 services39 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.

38 services27 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.

28 services20 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.

24 services24 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330195

Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County

Emergency services Birthing friendly

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.

93.49/100

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

Scored through an Alternative Payment Model

Quality

72.62

Promoting Interoperability

90.58

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

98%684 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

22%390 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 83% · 156 patients

69%156 patients3/55-star benchmark: 98%

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 5

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

DR. THOMAS ELDON KNUTSON JR. D.O.

Orthopaedic Surgery