DR. KENNETH T SHIMIZU (M.D.) – Radiation Oncology Physician, NPI 1326032129
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
677 RADIATION ONCOLOGY in CA
Provider Addresses for DR. KENNETH T SHIMIZU (M.D.)
10790, Rancho Bernardo Road, San Diego County, California, 92127, United States
SAN DIEGO, CA 921275705
Phone: (760) 599-9545
Fax: (760) 599-9549
Type: Mailing
10670 JOHN J HOPKINS DR
SAN DIEGO, CA 921211120
Phone: (858) 554-4100
Type: Location
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 $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Progenics Pharmaceuticals, Inc. | $24 |
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: 2005-02-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050211000864 | I | Radiation Oncology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77334 | Design and construction of complex radiation treatment device | 330 | 87 | $0 |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 312 | 19 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 285 | 71 | $0 |
| 77300 | Calculation of radiation therapy dose | 278 | 75 | $0 |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 225 | 38 | $0 |
Insurance plans in this area (ZIP 92127)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| - | CA |
Reviews
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