TOMOYA HINOHARA M.D.
NPI 1659799799
Internal Medicine - Interventional Cardiology in Mountain View, CA

Active since April 05, 2014PECOS EnrolledAccepts Medicare Assignment
80.22/100
CMS Quality Rating
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040(650) 404-8300 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2024, Jun 6, 2024, Aug 4, 2022 and 1 more (4 updates tracked since 2020).

About Tomoya Hinohara M.d. NPPES

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

TOMOYA HINOHARA M.D. (NPI 1659799799) is an individual interventional cardiology provider in Mountain View, California, licensed in California (A194902) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2014).

NPPES Registry Identity

NPI1659799799
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameTOMOYA HINOHARACredential: M.D.
Location Address701 E EL CAMINO REALMountain View, CA 94040-2833
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2014
Enumeration DateApril 5, 2014
Last NPPES UpdateAugust 16, 20244 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1659799799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CA · A194902
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
701 E EL CAMINO REAL, Mountain View, CA 94040

Accepted 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

Tomoya Hinohara 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 ID5991041147
PECOS Enrollment IDI20240619000765
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 24

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.

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.
165 services165 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
114 services113 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.
113 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services56 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
69 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94040 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

80.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.19
Promoting Interoperability97
Improvement Activities40

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.

Allergy & Immunology (Allergy)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Family Medicine
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Radiology (Diagnostic Radiology)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Psychiatry & Neurology (Neurology)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Anesthesiology
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Dietitian, Registered
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Emergency Medicine (Sports Medicine)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Physician Assistant
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040

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 Tomoya Hinohara's NPI number?

The NPI number for Tomoya Hinohara is 1659799799. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Where is Tomoya Hinohara located?

Tomoya Hinohara practices at 701 E El Camino Real, Mountain View, CA 94040. The listed phone number is (650) 404-8300.

What is Tomoya Hinohara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Tomoya Hinohara enrolled in Medicare?

Yes. Tomoya Hinohara 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 Tomoya Hinohara accept?

Health plans from Community Health Choice list Tomoya Hinohara 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.

When was this NPI record last updated?

The NPPES record for Tomoya Hinohara was last updated on August 16, 2024. 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.