AKIRA YAMAMOTO MD
NPI 1669769386
Urology in Lawrenceville, NJ

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: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2022, Jun 29, 2021, Jan 20, 2017 (3 updates tracked since 2017).

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 a secondary practice location in Langhorne.

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
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 UpdateMarch 10, 20223 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
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

Secondary Practice Location 1

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

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

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.

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

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.

Physician Assistant (Surgical)
3311 BRUNSWICK PIKE
LAWRENCEVILLE, NJ 08648
Urology
3311 BRUNSWICK PIKE
LAWRENCEVILLE, NJ 08648
Dermatology
3311 BRUNSWICK PIKE
LAWRENCEVILLE, NJ 08648
Urology
3311 BRUNSWICK PIKE
LAWRENCEVILLE, NJ 08648

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.

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 March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.