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DAVID T MIYAMA M.D.
NPI 1568443240
Otolaryngology in Milwaukee, WI

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
2350 N LAKE DR, SUITE 406, MILWAUKEE, WI 53211(414) 271-4141(414) 271-4343 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David T Miyama M.d. NPPES

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

DAVID T MIYAMA M.D. (NPI 1568443240) is an individual otolaryngology provider in Milwaukee, Wisconsin, licensed in Wisconsin (33184) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Michigan Medical School (1987).

NPPES Registry Identity

NPI1568443240
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDAVID T MIYAMACredential: M.D.
Location Address2350 N LAKE DR, SUITE 406Milwaukee, WI 53211-4528
Mailing Address4425 N Port Washington RdGlendale, WI 53212-1082 · (414) 326-2218
Phone(414) 271-4141
Fax(414) 271-4343
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1987
Enumeration DateNovember 9, 2005
Last NPPES UpdateMarch 18, 2016
✔ NPI 1568443240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in WI · 33184✔ Licensed in MI · 4301051920
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2350 N LAKE DR, Milwaukee, WI 53211
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Other Identifiers 4

Medicare UPINF30321MI
Medicaid4172040MI
Other0090129MI · Bcbsm Pin
Other0400661MI · Helathplus Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

David T Miyama 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 ID7810064292
PECOS Enrollment IDI20151102000557
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 8

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 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.
97 services97 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.
77 services65 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.
67 services67 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 services31 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
34 services29 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
33 services31 patients

Hospital Affiliations CMS Care Compare

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

IRINA KOSTOVA DIMITROVA M.D.
Obstetrics & Gynecology
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1949
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Clinic/Center (Multi-Specialty)
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1000
DR. LYLE GENE HENRY MD
Surgery
2350 N LAKE DR, SUITE 304
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7220
KELLY A ISHERWOOD PA-C
Physician Assistant
2350 N LAKE DR, SUITE 206
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7280
MICHAEL E KEEFE MD
Internal Medicine (Hematology & Oncology)
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7250
MRS. AUDRA LYNN FELKER NP-C
Nurse Practitioner (Family)
2350 N LAKE DR, SUITE 400
MILWAUKEE, WI 53211
Milwaukee County (414) 271-1633
CATHERINE BARES APNP
Nurse Practitioner
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7250
RACHEL TORGERSON KOEBEL PT, MPT, GCS
Physical Therapist
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 296-2554

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 David Miyama's NPI number?

The NPI number for David Miyama is 1568443240. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is David Miyama located?

David Miyama practices at 2350 N Lake Dr Suite 406, Milwaukee, WI 53211. The listed phone number is (414) 271-4141.

What is David Miyama's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is David Miyama enrolled in Medicare?

Yes. David Miyama 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 David Miyama accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list David Miyama 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 David Miyama affiliated with any hospitals?

According to CMS data, David Miyama is affiliated with Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for David Miyama was last updated on March 18, 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.