ANDREW HIROSHI KAGEYAMA OD
NPI 1437882636
Optometrist in Elk Grove, CA
About Andrew Hiroshi Kageyama Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW HIROSHI KAGEYAMA OD (NPI 1437882636) is an individual optometrist in Elk Grove, California, licensed in Pennsylvania (OEG003929) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of State University Of New York - State College Optometry (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Hiroshi Kageyama Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Andrew Kageyama reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elk Grove, CA 95624
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Elk Grove, CA 95758
- Reassigned Medicare billing, California enrollment
- 29 clinicians in this Medicare group
Roseville, CA 95747
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Andrew Kageyama's NPI number?
The NPI number for Andrew Kageyama is 1437882636. It was assigned to this individual provider in the NPPES registry on July 5, 2022.
Where is Andrew Kageyama located?
Andrew Kageyama practices at 9401 E Stockton Blvd Ste 105, Elk Grove, CA 95624. The listed phone number is (916) 686-4937.
What is Andrew Kageyama's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Andrew Kageyama enrolled in Medicare?
Yes. Andrew Kageyama is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrew Kageyama's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kageyama reassigns Medicare benefits to 3 organizations: Elk Grove Optometry A Professional Corporation (Elk Grove, CA), Third Optometric Care Of California PC (Elk Grove, CA) and Blue Oaks Eyecare Inc (Roseville, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Kageyama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Kageyama accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Andrew Kageyama 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.
When was this NPI record last updated?
The NPPES record for Andrew Kageyama was last updated on March 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Andrew Hiroshi Kageyama, OD · NPI 1437882636
Optometrist provider in Elk Grove, California. Individual provider, active in the CMS NPPES registry since July 5, 2022.
## Identity
- **NPI:** 1437882636 (Entity type: Individual)
- **Enumerated:** July 5, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OEG003929 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 9401 E STOCKTON BLVD STE 105, Elk Grove, CA 95624-5050
- **Phone:** (916) 686-4937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Elk Grove Optometry A Professional Corporation (NPI 1306895545, Elk Grove, CA); Third Optometric Care Of California PC (NPI 1770161655, Elk Grove, CA); Blue Oaks Eyecare Inc (NPI 1679862544, Roseville, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2022
## Record status
- **NPPES last updated:** March 3, 2024
- **Other identifiers:** Other OEG003929 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1437882636) · Data from the CMS NPPES public registry.