DR. KYOKO OKAMURA MD, MPH
NPI 1922255371
Obstetrics & Gynecology in Brookline, MA

NPI Status: Active since August 27, 2008

Contact Information

1180 BEACON ST
SUITE A
BROOKLINE, MA
ZIP 02446
Phone: (617) 232-8888

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  • Individual
  • Female
  • Years of Experience 20
  • Obstetrics & Gynecology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • CLIA Number: 22D2091130
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-05-2027

About KYOKO OKAMURA

This page provides the complete NPI Profile along with additional information for Kyoko Okamura, a women's health care provider established in Brookline, Massachusetts with a medical specialization in Obstetrics & Gynecology and more than 20 years of experience. She graduated from Boston University School Of Medicine in 2006. The healthcare provider is registered in the NPI registry with number 1922255371 assigned on August 2008. The practitioner's primary taxonomy code is 207V00000X with license number 228568 (MA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1922255371
Provider Name
DR. KYOKO OKAMURA MD, MPH
Gender
Female
Entity Type
Individual
Location Address
1180 BEACON ST SUITE A BROOKLINE, MA 02446
Location Phone
(617) 232-8888
Mailing Address
1180 BEACON ST SUITE A BROOKLINE, MA 02446
Mailing Phone
(617) 232-8888
Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
08-27-2008
Last Update Date
12-15-2014
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Women's health care providers like Kyoko Okamura treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
228568
License State
MA
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kyoko Okamura is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kyoko Okamura is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5991984726

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110126000687

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $19.71 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02446 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.11
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $36.02
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.84
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $19.71
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2091130
Facility Type
Physician Office
Certificate Effective Date
February 06, 2025
Certificate Expiration Date
February 05, 2027
Laboratory Director
DR. KYOKO OKAMURA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kyoko Okamura to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922255371, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 4 + 5 + 1 + 0 + 3 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1922255371.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist
1180 BEACON ST, SUITE 5C
BROOKLINE, MA 02446
Obstetrics & Gynecology (Gynecology)
1180 BEACON ST, SUITE 7-A
BROOKLINE, MA 02446
Obstetrics & Gynecology
1180 BEACON ST
BROOKLINE, MA 02446
Internal Medicine
1180 BEACON ST, SUITE 5A
BROOKLINE, MA 02446
Internal Medicine
1180 BEACON ST, SUITE 8A
BROOKLINE, MA 02446
Podiatrist (Sports Medicine)
1180 BEACON ST, SUITE 4D
BROOKLINE, MA 02446
Internal Medicine
1180 BEACON ST
BROOKLINE, MA 02446
Psychiatry & Neurology (Psychiatry)
1180 BEACON ST, SUITE 4C
BROOKLINE, MA 02446
Dietitian, Registered
1180 BEACON ST, SUITE 7D
BROOKLINE, MA 02446
Physical Therapist
1180 BEACON ST, SUITE 6-C
BROOKLINE, MA 02446
Physical Therapist
1180 BEACON ST
BROOKLINE, MA 02446
Psychiatry & Neurology (Psychiatry)
1180 BEACON ST, SUITE 4C
BROOKLINE, MA 02446
Nurse Practitioner (Pediatrics)
1180 BEACON ST
BROOKLINE, MA 02446
Obstetrics & Gynecology
1180 BEACON ST
BROOKLINE, MA 02446
Pediatrics
1180 BEACON ST, SUITE 4A
BROOKLINE, MA 02446
Pediatrics
1180 BEACON ST, SAUITE 4A
BROOKLINE, MA 02446
Psychiatry & Neurology (Psychiatry)
1180 BEACON ST
BROOKLINE, MA 02446
Internal Medicine
1180 BEACON ST, SUITE 5A
BROOKLINE, MA 02446
Internal Medicine (Cardiovascular Disease)
1180 BEACON ST, SUITE 5-A
BROOKLINE, MA 02446
Psychiatry & Neurology (Psychiatry)
1180 BEACON ST, SUITE 5C
BROOKLINE, MA 02446

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922255371, enumerated as an "individual" on August 27, 2008.

The provider is located at 1180 BEACON ST SUITE A BROOKLINE, MA 02446 and the phone number is (617) 232-8888.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.