MARIKO ISHIYAMA D.O
NPI 1952662991
Hospitalist in Modesto, CA

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1441 FLORIDA AVE, MODESTO, CA 95350(209) 576-3525 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Feb 16, 2016 (2 updates tracked since 2016).

About Mariko Ishiyama D.o NPPES

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

MARIKO ISHIYAMA D.O (NPI 1952662991) is an individual hospitalist provider in Modesto, California, licensed in California (12904) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1952662991
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMARIKO ISHIYAMACredential: D.O
Location Address1441 FLORIDA AVEModesto, CA 95350-4404
Mailing Address3606 Brook StLafayette, CA 94549-4202 · (510) 703-9040
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 6, 2012
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1952662991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · 12904
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20A13309 (CA)
1441 FLORIDA AVE, Modesto, CA 95350

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

Mariko Ishiyama D.o 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 ID4486872835
PECOS Enrollment IDI20150928000736
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 3

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.

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.
161 services159 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.
29 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

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…
100%27 patients5/55-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.

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.

Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Pharmacy Technician
1441 FLORIDA AVE
MODESTO, CA 95350
Family Medicine
1441 FLORIDA AVE
MODESTO, CA 95350
Pharmacist
1441 FLORIDA AVE
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Anesthesiology
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350

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 Mariko Ishiyama's NPI number?

The NPI number for Mariko Ishiyama is 1952662991. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Mariko Ishiyama located?

Mariko Ishiyama practices at 1441 Florida Ave, Modesto, CA 95350. The listed phone number is (209) 576-3525.

What is Mariko Ishiyama's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mariko Ishiyama enrolled in Medicare?

Yes. Mariko Ishiyama 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 Mariko Ishiyama was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.