DR. MICHAEL S MAEHARA M.D.
NPI 1316969629
Internal Medicine - Rheumatology in Long Beach, CA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
2220 CLARK AVE, LONG BEACH, CA 90815(562) 597-4181(562) 597-7083 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael S Maehara M.d. NPPES

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

DR. MICHAEL S MAEHARA M.D. (NPI 1316969629) is an individual rheumatology provider in Long Beach, California, licensed in California (39815) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1316969629
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MICHAEL S MAEHARACredential: M.D.
Location Address2220 CLARK AVELong Beach, CA 90815-2521
Mailing Address75 Remittance Dr Dept 6008Chicago, IL 60675-6008 · (562) 282-1419 · Fax (562) 920-4642
Fax(562) 597-7083
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 15, 2016
NPI 1316969629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in CA · 39815 Licensed in CA · A39815
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.
2220 CLARK AVE, Long Beach, CA 90815

Other Identifiers 3

Medicare UPINA28973CA
Medicaid00A398150CA
Medicare PINWA398151CA

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. Michael S Maehara 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 ID2567643497
PECOS Enrollment IDI20110224000496
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 6

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 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.
261 services125 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
74 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
54 services30 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
47 services23 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.
22 services22 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.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90815 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.

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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Improvement Activities40
Cost59.29

Referred Medical Equipment & Supplies CMS DME claims

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

Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$71.13 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 14

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

Pharmacy (Community/Retail Pharmacy)
2220 CLARK AVE
LONG BEACH, CA 90815
Physician Assistant
2220 CLARK AVE
LONG BEACH, CA 90815
Pediatrics
2220 CLARK AVE
LONG BEACH, CA 90815
Family Medicine
2220 CLARK AVE
LONG BEACH, CA 90815
Family Medicine
2220 CLARK AVE
LONG BEACH, CA 90815
Chiropractor
2220 CLARK AVE
LONG BEACH, CA 90815
Pharmacy (Community/Retail Pharmacy)
2220 CLARK AVE
LONG BEACH, CA 90815
Pediatrics
2220 CLARK AVE
LONG BEACH, CA 90815

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 Michael Maehara's NPI number?

The NPI number for Michael Maehara is 1316969629. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Michael Maehara located?

Michael Maehara practices at 2220 Clark Ave, Long Beach, CA 90815. The listed phone number is (562) 597-4181.

What is Michael Maehara's specialty?

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

Is Michael Maehara enrolled in Medicare?

Yes. Michael Maehara 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 Michael Maehara was last updated on July 15, 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.