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THOMAS K TAKAYAMA M.D.
NPI 1720166184
Urology in Bellevue, WA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
1135 116TH AVE NE, SUITE 620, BELLEVUE, WA 98004(425) 454-8016(425) 453-2827 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas K Takayama M.d. NPPES

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

THOMAS K TAKAYAMA M.D. (NPI 1720166184) is an individual urology provider in Bellevue, Washington, licensed in Washington (MD00026422) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Tufts University School Of Medicine (1985).

NPPES Registry Identity

NPI1720166184
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameTHOMAS K TAKAYAMACredential: M.D.
Location Address1135 116TH AVE NE, SUITE 620Bellevue, WA 98004-4623
Mailing Address1135 116th Ave Ne, Suite 620Bellevue, WA 98004-4623 · (425) 454-8016 · Fax (425) 453-2827
Phone(425) 454-8016
Fax(425) 453-2827
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1985
Enumeration DateNovember 2, 2006
Last NPPES UpdateSeptember 28, 2017
✔ NPI 1720166184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WA · MD00026422
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.
1135 116TH AVE NE, Bellevue, WA 98004
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF69634
Medicare ID-Type Unspecified108016
Medicaid1017428WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Thomas K Takayama 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 ID6305976440
PECOS Enrollment IDI20100616000190
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 10

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.
239 services189 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.
71 services64 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.
47 services47 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.
30 services29 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services25 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
95%20 patients5/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
63%528 patients3/55-star benchmark: 85%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%467 patients4/55-star benchmark: 90%
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 3

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
2 suppliers33 claims4,300 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
1 supplier11 claims2,200 services$1.68 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers44 claims5,734 services$6.44 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.

JOSEPH W DOUCETTE M.D.
Internal Medicine (Cardiovascular Disease)
1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004
King County (425) 454-2656
WASHINGTON IMAGING SERVICES LLC
Specialist
1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004
King County (425) 688-0100
ROANNE R E SELINGER MD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
OVERLAKE BREAST IMAGING LLC
Clinic/Center (Radiology)
1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004
King County (425) 467-3754
DAVID C MORTON M.D.
Internal Medicine
1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004
King County (425) 289-3100
SHIE-PON TZUNG MD PHD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
PROLIANCE SURGEONS INC., P.S.
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
OVERLAKE MEDICAL TOWER PHARMACY
Pharmacy (Community/Retail Pharmacy)
1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004
King County (425) 688-5958

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 Thomas Takayama's NPI number?

The NPI number for Thomas Takayama is 1720166184. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Thomas Takayama located?

Thomas Takayama practices at 1135 116th Ave NE Suite 620, Bellevue, WA 98004. The listed phone number is (425) 454-8016.

What is Thomas Takayama's specialty?

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

Is Thomas Takayama enrolled in Medicare?

Yes. Thomas Takayama 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 Thomas Takayama accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thomas Takayama 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 Thomas Takayama affiliated with any hospitals?

According to CMS data, Thomas Takayama is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Takayama was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.