DR. RUSS T SHIMIZU M.D.
NPI 1780688242
Psychiatry & Neurology - Neurology in Santa Monica, CA

Active since June 11, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2811 WILSHIRE BLVD, STE 790, SANTA MONICA, CA 90403(310) 829-5968(310) 453-3685 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Russ T Shimizu M.d. NPPES

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

DR. RUSS T SHIMIZU M.D. (NPI 1780688242) is an individual neurology provider in Santa Monica, California, licensed in California (C33305) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1967).

NPPES Registry Identity

NPI1780688242
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RUSS T SHIMIZUCredential: M.D.
Location Address2811 WILSHIRE BLVD, STE 790Santa Monica, CA 90403-4805
Mailing Address2811 Wilshire Blvd Ste 550Santa Monica, CA 90403-4806 · (310) 323-0026 · Fax (310) 453-3685
Fax(310) 453-3685
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1967
Enumeration DateJune 11, 2005
Last NPPES UpdateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
NPI 1780688242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CA · C33305
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2811 WILSHIRE BLVD, Santa Monica, CA 90403

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. Russ T Shimizu 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 ID4486694742
PECOS Enrollment IDI20081030000684
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 14

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.
705 services260 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
95 services89 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
75 services46 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.
74 services74 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
62 services61 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
44 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$117.09 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$51.26 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.

Pain Medicine (Interventional Pain Medicine)
2811 WILSHIRE BLVD, # 790
SANTA MONICA, CA 90403
General Practice
2811 WILSHIRE BLVD, SUITE 610
SANTA MONICA, CA 90403
Radiology (Radiation Oncology)
2811 WILSHIRE BLVD, SUITE 860
SANTA MONICA, CA 90403
Dermatology (Dermatopathology)
2811 WILSHIRE BLVD, SUITE 615
SANTA MONICA, CA 90403
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
2811 WILSHIRE BLVD, SUITE 680
SANTA MONICA, CA 90403
Internal Medicine (Rheumatology)
2811 WILSHIRE BLVD, STE 550
SANTA MONICA, CA 90403
Physical Therapist
2811 WILSHIRE BLVD, SUITE 600
SANTA MONICA, CA 90403
Physical Medicine & Rehabilitation (Pain Medicine)
2811 WILSHIRE BLVD, SUITE 850
SANTA MONICA, CA 90403

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 Russ Shimizu's NPI number?

The NPI number for Russ Shimizu is 1780688242. It was assigned to this individual provider in the NPPES registry on June 11, 2005.

Where is Russ Shimizu located?

Russ Shimizu practices at 2811 Wilshire Blvd Ste 790, Santa Monica, CA 90403. The listed phone number is (310) 829-5968.

What is Russ Shimizu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Russ Shimizu enrolled in Medicare?

Yes. Russ Shimizu 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 Russ Shimizu was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.