ELAINE TSUKAYAMA MD
NPI 1578874459
Pediatrics in Utica, NY

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment
88.52/100
CMS Quality Rating
117 BUSINESS PARK DR, UTICA, NY 13502(315) 798-1543 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2018, Mar 30, 2017 (2 updates tracked since 2017).

About Elaine Tsukayama Md NPPES

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

ELAINE TSUKAYAMA MD (NPI 1578874459) is an individual pediatrics provider in Utica, New York, licensed in New York (292820) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2010).

NPPES Registry Identity

NPI1578874459
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELAINE TSUKAYAMACredential: MD
Location Address117 BUSINESS PARK DRUtica, NY 13502-6303
Mailing Address117 Business Park DrUtica, NY 13502-6303 · (315) 798-1543
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2010
Enumeration DateJune 25, 2010
Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
NPI 1578874459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 292820
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.

117 BUSINESS PARK DR, Utica, NY 13502

Other Identifiers 1

Medicaid05081741NY

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

Elaine Tsukayama Md 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 ID941438048
PECOS Enrollment IDI20180326001278
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

88.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Promoting Interoperability100
Improvement Activities40
Cost76.76

Other Providers at the Same Location NPPES 11

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

Physician Assistant (Medical)
117 BUSINESS PARK DR
UTICA, NY 13502
Nurse Practitioner (Family)
117 BUSINESS PARK DR
UTICA, NY 13502
Nurse Practitioner (Family)
117 BUSINESS PARK DR
UTICA, NY 13502
Nurse Practitioner
117 BUSINESS PARK DR
UTICA, NY 13502
Pediatrics
117 BUSINESS PARK DR
UTICA, NY 13502
Physician Assistant (Surgical)
117 BUSINESS PARK DR
UTICA, NY 13502
Nurse Practitioner (Family)
117 BUSINESS PARK DR
UTICA, NY 13502
Physician Assistant (Medical)
117 BUSINESS PARK DR
UTICA, NY 13502

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 Elaine Tsukayama's NPI number?

The NPI number for Elaine Tsukayama is 1578874459. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Elaine Tsukayama located?

Elaine Tsukayama practices at 117 Business Park Dr, Utica, NY 13502. The listed phone number is (315) 798-1543.

What is Elaine Tsukayama's specialty?

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

Is Elaine Tsukayama enrolled in Medicare?

Yes. Elaine Tsukayama 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 Elaine Tsukayama was last updated on September 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.