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MITSUHIKO TSUKIMOTO M.D.
NPI 1447518964
Pediatrics in Loma Linda, CA

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
25845 BARTON RD, LOMA LINDA, CA 92354(909) 558-2828 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mitsuhiko Tsukimoto M.d. NPPES

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

MITSUHIKO TSUKIMOTO M.D. (NPI 1447518964) is an individual pediatrics provider in Loma Linda, California, licensed in California (A129205) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2012).

NPPES Registry Identity

NPI1447518964
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMITSUHIKO TSUKIMOTOCredential: M.D.
Location Address25845 BARTON RDLoma Linda, CA 92354-3899
Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 651-4300
Phone(909) 558-2828
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2012
Enumeration DateMay 3, 2012
Last NPPES UpdateJuly 19, 2016
✔ NPI 1447518964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A129205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
25845 BARTON RD, Loma Linda, CA 92354
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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

Mitsuhiko Tsukimoto 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 ID6901118108
PECOS Enrollment IDI20150630002836
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

2

Medicare enrollment records show Mitsuhiko Tsukimoto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
Same address
Pediatrics
25845 BARTON ROAD, STE. F
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1275583007 (909) 558-2828
Sac Health System
4.2 mi
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1013935915 (909) 382-7100

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 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

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.

DR. HEE CHAN PARK M.D.
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
NICOLE LAUREN POPE MD
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
JANESSA ANN CHARLES-MARCEL MD
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
WILSON GLENN THOMAS MD
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
MICHAEL MIN
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
ANDREW BYUNG-MIN YOO
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
LAUREN ELISABETH ORONA M.D.
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828
DR. TRACY ANNE GOULD D.O.
Pediatrics
25845 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2828

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 Mitsuhiko Tsukimoto's NPI number?

The NPI number for Mitsuhiko Tsukimoto is 1447518964. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Mitsuhiko Tsukimoto located?

Mitsuhiko Tsukimoto practices at 25845 Barton Rd, Loma Linda, CA 92354. The listed phone number is (909) 558-2828.

What is Mitsuhiko Tsukimoto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mitsuhiko Tsukimoto enrolled in Medicare?

Yes. Mitsuhiko Tsukimoto 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.

Which organizations bill Medicare for Mitsuhiko Tsukimoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitsuhiko Tsukimoto reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Sac Health System (San Bernardino, 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 Mitsuhiko Tsukimoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mitsuhiko Tsukimoto was last updated on July 19, 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.