Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AKIRA YAMAMOTO MD
NPI 1669769386
Urology in Lawrenceville, NJ

Q: What is Akira Yamamoto's NPI number?

The NPI number for Akira Yamamoto is 1669769386. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Q: What is Akira Yamamoto's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Akira Yamamoto was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment

3311 BRUNSWICK PIKE, LAWRENCEVILLE, NJ 08648(609) 716-7030(609) 716-7003 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Mar 10, 2022, Jun 29, 2021 and 1 more (4 updates tracked since 2017).

On this page

About Akira Yamamoto Md NPPES

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

AKIRA YAMAMOTO MD (NPI 1669769386) is an individual urology provider in Lawrenceville, New Jersey, licensed in New Jersey (25MA09920000) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669769386

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameAKIRA YAMAMOTOCredential: MD

Location Address3311 BRUNSWICK PIKELawrenceville, NJ 08648-2411

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(609) 716-7030

Fax(609) 716-7003

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2011

Enumeration DateJuly 1, 2011

Last NPPES UpdateSeptember 18, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1669769386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in NJ · 25MA09920000✔ Licensed in PA · MD457048

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3311 BRUNSWICK PIKE, Lawrenceville, NJ 08648

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Secondary Practice Locations 2

Location 1825 Town Center Dr, Suite 150Langhorne, PA 19047-1753 · Phone (215) 750-6510 · Fax (215) 750-1985

Location 225 Monument Rd Ste 190York, PA 17403-5059 · Phone (717) 741-8011 · Fax (717) 255-0966

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Akira Yamamoto 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 ID6800030594

PECOS Enrollment IDI20161102001915, I20171013001957

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.

Medicare Billing Reassignments

Medicare enrollment records show Akira Yamamoto reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trinity Health Mid-Atlantic Medical Group

11 mi

Family Medicine

657 HEACOCK RD
Yardley, PA 19067

Reassigned Medicare billing, Pennsylvania enrollment
646 clinicians in this Medicare group

NPI 1639974645 (215) 946-1500

Summit Medical Group PA

30 mi

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

New Jersey Urology LLC

46 mi

Urology

1515 BROAD ST, SUITE B130
Bloomfield, NJ 07003

Reassigned Medicare billing, New Jersey enrollment
144 clinicians in this Medicare group

NPI 1588822423 (973) 873-7000

Wellspan Medical Group

73 mi

Family Medicine

770 BROAD ST
East Earl, PA 17519

Reassigned Medicare billing, Pennsylvania enrollment
3,080 clinicians in this Medicare group

NPI 1265983613 (717) 445-4576

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 27

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

1,820 services13 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.

948 services504 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

685 services474 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

612 services461 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.

283 services228 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.

171 services119 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

121 services110 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

105 services13 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

90 services66 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

85 services74 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.

81 services81 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

56 services14 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

48 services34 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

44 services11 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

40 services38 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

40 services38 patients

Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52315

This is a procedure where an instrument called an endoscope is used to remove an object, stone, or a small tube known as a stent from the bladder or urinary passage. The endoscope allows the process to be done without any large incisions, promoting a quicker recovery.

30 services30 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

27 services17 patients

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.

24 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

22 services14 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

22 services16 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

21 services21 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

18 services13 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

14 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

Removal or manipulation of stone in ureter or kidney using an endoscope 52352

This procedure involves using a thin, flexible instrument called an endoscope to locate and remove or break down stones in the urinary tract. It's a non-invasive method that helps to alleviate discomfort and improve urinary function.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Lower Bucks Hospital

Acute Care Hospitals · Bristol, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390070

Location501 Bath RoadBristol, PA 19007 · Bucks County

Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390115

Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County

Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390258

LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

68%435 patients3/55-star benchmark: 100%

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

Patients 65+: 89% · 35 patients

91%43 patients

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

14%267 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

98%296 patients4/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

91%79 patients4/55-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 2

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims2,400 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers29 claims6,120 services$1.64 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 4

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

MRS. JAMIE ANNE GRAY PA-C

Physician Assistant (Surgical)

3311 BRUNSWICK PIKE
LAWRENCEVILLE, NJ 08648

Mercer County (609) 716-7030

DR. CHRISTOPHER SCHAEFER D.O.

Urology

3311 BRUNSWICK PIKE
LAWRENCEVILLE, NJ 08648

Mercer County (609) 716-7030

DR. LEAH CELIA KINCAID MD

Dermatology

3311 BRUNSWICK PIKE
LAWRENCEVILLE, NJ 08648

Mercer County (609) 799-1600

RAVI RAJAN M.D.

Urology

3311 BRUNSWICK PIKE
LAWRENCEVILLE, NJ 08648

Mercer County (609) 716-7030

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 Akira Yamamoto's NPI number?

The NPI number for Akira Yamamoto is 1669769386. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Akira Yamamoto located?

Akira Yamamoto practices at 3311 Brunswick Pike, Lawrenceville, NJ 08648. The listed phone number is (609) 716-7030.

What is Akira Yamamoto's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Akira Yamamoto enrolled in Medicare?

Yes. Akira Yamamoto 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.

Which organizations bill Medicare for Akira Yamamoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akira Yamamoto reassigns Medicare benefits to 4 organizations: Trinity Health Mid-Atlantic Medical Group (Yardley, PA), Summit Medical Group PA (Berkeley Heights, NJ), New Jersey Urology LLC (Bloomfield, NJ) and Wellspan Medical Group (East Earl, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Akira Yamamoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Akira Yamamoto accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Akira Yamamoto 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 Akira Yamamoto affiliated with any hospitals?

According to CMS data, Akira Yamamoto is affiliated with Wellspan York Hospital, Lower Bucks Hospital, Hospital Of Univ Of Pennsylvania, Jefferson Health- Northeast and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Akira Yamamoto was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.