SCOTT KUBOMOTO (M.D.) – Hospitalist Physician, NPI 1073744546

SCOTT KUBOMOTO (M.D.) is a healthcare provider. based in Orange, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A115254 (CA). The NPI Number for SCOTT KUBOMOTO (M.D.) is 1073744546

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT KUBOMOTO (M.D.)
NPI
1073744546
Phone
Not provided
Address
333 CITY BLVD W STE 500
Enumeration Date
1 August 2009
Last Update Date
20 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144567890
Graduation Year
2009 (17 years ago)
PAC ID
1951564236
Group Practice PAC ID
3971609611
Professional Enrollment ID
I20120524000174
Address ID
CA928683201OR101XXSXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for SCOTT KUBOMOTO (M.D.)

  • 333 CITY BLVD W STE 500

    ORANGE, CA 928685911

    Phone:

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Type: Location

  • B. Riley Financial, Inc., 11100, Santa Monica Boulevard, Sawtelle, Los Angeles, Los Angeles County, California, 90025, United States

    SUITE 250

    LOS ANGELES, CA 900253384

    Phone: (424) 321-6309

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120524000174IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13974$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8244$0
99238Hospital discharge day management, 30 minutes or less3636$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2120$0
99239Hospital discharge day management, more than 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 92868)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971609611View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
Internal MedicineCA
Internal MedicineMO
Internal MedicineCA
Internal MedicineCA
Family PracticeCA
Internal MedicineCA
Internal MedicineCA
Hospice/Palliative Care, Internal MedicineCA
Internal MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify SCOTT KUBOMOTO (M.D.) for billing?
Administrative and clinical systems typically use NPI 1073744546 for SCOTT KUBOMOTO (M.D.).
Should I treat SCOTT KUBOMOTO (M.D.) as an active provider?
Patients and plans typically see SCOTT KUBOMOTO (M.D.) as active in the national extract.
What type of care does SCOTT KUBOMOTO (M.D.) provide?
SCOTT KUBOMOTO (M.D.)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SCOTT KUBOMOTO (M.D.)?
SCOTT KUBOMOTO (M.D.) is associated with Orange, California in the same public data insurers reference.
Who maintains SCOTT KUBOMOTO (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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