DR. WALTER TAKESHI KUSUMOTO M.D. M.P.H.
NPI 1619935079
Internal Medicine - Clinical Cardiac Electrophysiology in Chico, CA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
10.32/100
CMS Quality Rating
1645 ESPLANADE, SUITE 3, CHICO, CA 95926(530) 893-8806(530) 893-8846 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2023, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Walter Takeshi Kusumoto M.d. M.p.h. NPPES

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

DR. WALTER TAKESHI KUSUMOTO M.D. M.P.H. (NPI 1619935079) is an individual clinical cardiac electrophysiology provider in Chico, California, licensed in California (A60788) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Redding, and is a graduate of Saint Louis University School Of Medicine (1995).

NPPES Registry Identity

NPI1619935079
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. WALTER TAKESHI KUSUMOTOCredential: M.D. M.P.H.
Location Address1645 ESPLANADE, SUITE 3Chico, CA 95926-3367
Mailing Address1645 Esplanade Ste 3Chico, CA 95926-3367 · (530) 893-8806 · Fax (530) 893-8846
Fax(530) 893-8846
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1995
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1619935079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in CA · A60788
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License A60788 (CA)
1645 ESPLANADE, Chico, CA 95926

Other Names 1

Professional Name (2)Dr. Walter T. Kusumoto M.d. M.p.h.

Secondary Practice Location 1

Location 11145 Whiskeytown Ct Ste ARedding, CA 96001-0227 · Phone (530) 893-8806 · Fax (530) 893-8846

Other Identifiers 6

OtherA60788CA · Medical Board Of California - California Medical License
Other1619935079Npi
Other00A607880CA · Centers For Medicare & Medicade Services (cms): Medicare Id
Other00A607880CA · Medi-cal
OtherBK5138169CA · Dea
OtherFNP 41401CA · Medical Board Of California--ficticious Name Permit (fnp)

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

Dr. Walter Takeshi Kusumoto M.d. M.p.h. 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 ID4284675596
PECOS Enrollment IDI20050517000923
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 35

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.

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
1,912 services278 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,204 services187 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.
1,192 services602 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
774 services119 patients
Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427
Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.
742 services249 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
569 services172 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95926 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

10.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%67 patients
Controlling High Blood Pressure
71%410 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%75 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%355 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 931 patients
Patients totalRate: 0% · 931 patients
0%931 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier12 claims12 services$2,249.61 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 10

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

Specialist
1645 ESPLANADE, SUITE 1
CHICO, CA 95926
Obstetrics & Gynecology (Gynecology)
1645 ESPLANADE, SUITE 4
CHICO, CA 95926
Specialist
1645 ESPLANADE, SUITE #1
CHICO, CA 95926
Psychiatry & Neurology (Neurology)
1645 ESPLANADE, SUITE 2
CHICO, CA 95926
Nurse Practitioner (Obstetrics & Gynecology)
1645 ESPLANADE, SUITE 4
CHICO, CA 95926
Family Medicine
1645 ESPLANADE, SUITE 4
CHICO, CA 95926
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
1645 ESPLANADE, SUITE 2
CHICO, CA 95926
Obstetrics & Gynecology (Gynecology)
1645 ESPLANADE, SUITE 4
CHICO, CA 95926

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 Walter Kusumoto's NPI number?

The NPI number for Walter Kusumoto is 1619935079. It was assigned to this individual provider in the NPPES registry on May 3, 2006. The provider is also known as Dr. Walter T. Kusumoto M.D. M.P.H..

Where is Walter Kusumoto located?

Walter Kusumoto practices at 1645 Esplanade Suite 3, Chico, CA 95926. The listed phone number is (530) 893-8806.

What is Walter Kusumoto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Walter Kusumoto enrolled in Medicare?

Yes. Walter Kusumoto 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 Walter Kusumoto was last updated on August 30, 2023. 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.