KENICHI T MIYATA (MD) – Surgery Physician, NPI 1376687772
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
Provider Addresses for KENICHI T MIYATA (MD)
3393 G ST
D
MERCED, CA 953400964
Phone: (209) 230-3065
Fax: (209) 349-8511
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $506.
Total Amount is formed as General ($506) + Research ($0) + Ownership ($0) = $506.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Stryker Corporation ($426).
Total Amount
$506
General + Research + Ownership
Payments
4
Total payment records
General Amount
$506
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $426 |
| Pacira Pharmaceuticals Incorporated | $62 |
| Baxter Healthcare | $19 |
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: 2011-10-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111024000212 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 120 | 91 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 103 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 44 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 41 | 38 | $0 |
| 12034 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm | 38 | 36 | $0 |
Insurance plans in this area (ZIP 95340)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Nephrology, Internal Medicine | CA | |
| - | CA | |
| Family Practice, Sports Medicine | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| Occupational Therapist In Private Practice | CA | |
| Clinical Social Worker | CA | |
| Physical Therapist In Private Practice | CA |
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