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GEORGE Y HISATOMI MD
NPI 1609978352
Family Medicine in Elk Grove, CA

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
8170 LAGUNA BLVD, #114, ELK GROVE, CA 95758(916) 691-5900(916) 691-6736 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About George Y Hisatomi Md NPPES

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

GEORGE Y HISATOMI MD (NPI 1609978352) is an individual family medicine provider in Elk Grove, California, licensed in California (G78734) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1986).

NPPES Registry Identity

NPI1609978352
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGEORGE Y HISATOMICredential: MD
Location Address8170 LAGUNA BLVD, #114Elk Grove, CA 95758-7901
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(916) 691-5900
Fax(916) 691-6736
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1986
Enumeration DateSeptember 2, 2006
Last NPPES UpdateMay 18, 2015
✔ NPI 1609978352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G78734
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8170 LAGUNA BLVD, Elk Grove, CA 95758
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Other Identifiers 3

Medicaid00G787340CA
Medicare ID-Type Unspecified00G787341
Medicare UPING37807

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

George Y Hisatomi 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 ID2365344231
PECOS Enrollment IDI20040121001203
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.

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.
486 services204 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.
89 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
67 services67 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services34 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
31 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers45 claims124 services$5.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims25 services$1.03 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$32.69 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier17 claims17 services$11.95 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.70 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers11 claims11 services$173.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. MORTEZA BEHESHTIAN DDS
Dentist (General Practice)
8170 LAGUNA BLVD, #300
ELK GROVE, CA 95758
Sacramento County (916) 683-2000
SCOTT C CANNON MD
Family Medicine
8170 LAGUNA BLVD, SUITE 114
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
THOMAS N ATKINS MD
Family Medicine
8170 LAGUNA BLVD, SUITE 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
KARANBIR SINGH GILL M.D.
Pediatrics
8170 LAGUNA BLVD, SUITE 210
ELK GROVE, CA 95758
Sacramento County (916) 691-5999
DR. ANDREW G HUDNUT M.D.
Family Medicine
8170 LAGUNA BLVD, #220
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
DR. MARK I GRIJNSZTEIN M.D.
Allergy & Immunology
8170 LAGUNA BLVD, SUITE 200
ELK GROVE, CA 95758
Sacramento County (916) 478-6555
CAROLE CHAN-YOU M.D.
Family Medicine
8170 LAGUNA BLVD, 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
ANGELIA WANG MD, MPH
Obstetrics & Gynecology
8170 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 691-5996

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 George Hisatomi's NPI number?

The NPI number for George Hisatomi is 1609978352. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is George Hisatomi located?

George Hisatomi practices at 8170 Laguna Blvd #114, Elk Grove, CA 95758. The listed phone number is (916) 691-5900.

What is George Hisatomi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is George Hisatomi enrolled in Medicare?

Yes. George Hisatomi 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 George Hisatomi was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.