AUSTIN NAKATSUKA M.D.
NPI 1366821688
Ophthalmology in Salt Lake City, UT

Active since May 19, 2015PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132(801) 585-6701(801) 581-5806 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2021, Jun 6, 2019, May 20, 2019 (3 updates tracked since 2019).

About Austin Nakatsuka M.d. NPPES

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

AUSTIN NAKATSUKA M.D. (NPI 1366821688) is an individual ophthalmology provider in Salt Lake City, Utah, licensed in Utah (11213695-1205) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2015).

NPPES Registry Identity

NPI1366821688
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameAUSTIN NAKATSUKACredential: M.D.
Location Address65 S MARIO CAPECCHI DRSalt Lake City, UT 84132-2409
Mailing Address65 S Mario Capecchi DrSalt Lake City, UT 84132-0005
Fax(801) 581-5806
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2015
Enumeration DateMay 19, 2015
Last NPPES UpdateNovember 8, 20213 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
NPI 1366821688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in UT · 11213695-1205
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
65 S MARIO CAPECCHI DR, Salt Lake City, UT 84132

Accepted 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

Austin Nakatsuka 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 ID7113289463
PECOS Enrollment IDI20190611002713
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 27

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.
215 services139 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.
178 services116 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.
148 services105 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.
127 services92 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
101 services97 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
93 services90 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

Ophthalmology
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Registered Nurse
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Ophthalmology
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Specialist/Technologist, Other (Surgical Technologist)
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132
Registered Nurse
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132

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 Austin Nakatsuka's NPI number?

The NPI number for Austin Nakatsuka is 1366821688. It was assigned to this individual provider in the NPPES registry on May 19, 2015.

Where is Austin Nakatsuka located?

Austin Nakatsuka practices at 65 S Mario Capecchi Dr, Salt Lake City, UT 84132. The listed phone number is (801) 585-6701.

What is Austin Nakatsuka's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Austin Nakatsuka enrolled in Medicare?

Yes. Austin Nakatsuka 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 Austin Nakatsuka accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Austin Nakatsuka 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 Austin Nakatsuka affiliated with any hospitals?

According to CMS data, Austin Nakatsuka is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Austin Nakatsuka was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.