Active NPI 1831207315 Individual Practitioner Male Practitioner

Dr. Lou Nishimura , MD

Internal Medicine • Carmichael, CA

Professional Overview & Biography Verified Profile Summary

Dr. Lou Nishimura, MD is a registered healthcare professional specializing in Internal Medicine in Carmichael, CA. Practice services are available at 6500 COYLE AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, established patient assisted living visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6500 Coyle Ave
Suite 1

Carmichael, CA 956080301

Telephone 9169674030

Fax 9169674060

Associated Practice Facility / Clinic

🏢 Care Medical Clinic Inc Facility NPI 1578580478

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Carmichael, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.5 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

37 Specialists

Practicing in Carmichael, CA (18502 Statewide)

Telehealth Adoption Rate

29.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	461	192	$161.34	$134.27
99213 Established patient office or other outpatient visit, typically 15 minutes	428	203	$115.03	$94.88
36415 Insertion of needle into vein for collection of blood sample	183	126	$9.20	$2.97
99336 Established patient assisted living visit, typically 40 minutes	157	57	$150.89	$138.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	97	91	$212.34	$189.34
90662 Influenza vaccine split virus, preservative free	89	85	$80.00	$68.54
G0008 Administration of influenza virus vaccine	89	85	$37.50	$31.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	72	$75.89	$58.94
0064A Adm sarscov2 50mcg/0.25mlbst	82	82	$50.00	$41.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	18	$135.36	$104.52
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	37	27	$199.23	$130.72
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	35	30	$220.04	$50.86
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$20.87	$15.00
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	25	19	$133.83	$84.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$197.46	$135.81
69210 Removal of impacted ear wax	23	21	$67.18	$48.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	485	203	$142.13	$135.72
99213 Established patient office or other outpatient visit, typically 15 minutes	332	175	$99.79	$95.51
99336 Established patient assisted living visit, typically 40 minutes	305	70	$146.18	$139.16
36415 Insertion of needle into vein for collection of blood sample	293	186	$9.90	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	178	167	$198.23	$188.77
90662 Influenza vaccine split virus, preservative free	161	146	$80.00	$65.26
G0008 Administration of influenza virus vaccine	161	146	$38.00	$18.03
0013A Adm sarscov2 100mcg/0.5ml3rd	147	147	$50.00	$42.36
0011A Adm sarscov2 100mcg/0.5ml1st	136	136	$47.68	$18.00
91301 Sarscov2 vac 100mcg/0.5ml im	135	132	$0.01	$0.01
0012A Adm sarscov2 100mcg/0.5ml2nd	135	135	$49.22	$30.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	20	$110.64	$97.21
93000 Routine ekg using at least 12 leads including interpretation and report	41	38	$16.66	$15.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	32	$63.05	$55.76
99337 Established patient assisted living visit, typically 60 minutes	38	30	$212.45	$198.81
69210 Removal of impacted ear wax	32	26	$54.98	$49.12
17000 Destruction of skin growth	25	19	$76.56	$70.91
81002 Urinalysis, manual test	14	11	$30.00	$3.48
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	11	11	$267.55	$224.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	466	95	$145.56	$140.92
99213 Established patient office or other outpatient visit, typically 15 minutes	447	211	$86.59	$78.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	151	$123.95	$114.35
36415 Insertion of needle into vein for collection of blood sample	277	188	$6.19	$2.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	191	177	$169.22	$152.65
90662 Influenza vaccine split virus, preservative free	156	156	$72.90	$60.86
G0008 Administration of influenza virus vaccine	155	155	$37.99	$17.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	46	$119.21	$108.33
93000 Routine ekg using at least 12 leads including interpretation and report	73	70	$21.21	$17.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	65	43	$60.56	$56.10
99337 Established patient assisted living visit, typically 60 minutes	55	39	$209.19	$202.19
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	50	13	$101.62	$95.16
69210 Removal of impacted ear wax	44	38	$55.39	$50.09
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	15	15	$252.36	$228.96
17000 Destruction of skin growth	15	14	$80.15	$69.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$52.63	$48.08
G0009 Administration of pneumococcal vaccine	13	13	$40.38	$17.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	584	242	$81.22	$77.12
99336 Established patient assisted living visit, typically 40 minutes	390	88	$141.41	$138.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	196	$120.38	$113.16
36415 Insertion of needle into vein for collection of blood sample	277	198	$5.04	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	197	188	$156.64	$150.44
G0008 Administration of influenza virus vaccine	160	159	$37.98	$17.55
90662 Influenza vaccine split virus, preservative free	136	135	$67.98	$54.87
93000 Routine ekg using at least 12 leads including interpretation and report	110	102	$19.12	$17.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	44	$111.74	$105.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	87	51	$58.81	$55.45
99337 Established patient assisted living visit, typically 60 minutes	73	44	$201.66	$198.72
17000 Destruction of skin growth	32	27	$72.60	$68.61
69210 Removal of impacted ear wax	29	23	$53.65	$49.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	11	$95.49	$93.99
90682 Influenza vaccine, quadrivalent derived from recombinant dna	24	24	$68.00	$54.89
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	20	15	$190.52	$180.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$209.32	$206.20
93970 Ultrasound study of arm or leg veins with compression and maneuvers	15	14	$302.72	$187.31
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	11	11	$276.15	$225.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$253.67	$213.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	629	247	$108.77	$73.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	211	$164.66	$108.56
36415 Insertion of needle into vein for collection of blood sample	294	199	$5.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	202	196	$219.71	$145.91
99336 Established patient assisted living visit, typically 40 minutes	202	75	$140.88	$134.66
90662 Influenza vaccine split virus, preservative free	182	181	$64.97	$52.28
G0008 Administration of influenza virus vaccine	179	178	$35.02	$21.67
93000 Routine ekg using at least 12 leads including interpretation and report	164	147	$33.86	$17.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	106	63	$81.89	$54.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	50	$152.86	$103.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	71	19	$116.06	$91.58
99337 Established patient assisted living visit, typically 60 minutes	60	38	$200.89	$192.13
69210 Removal of impacted ear wax	40	33	$75.86	$48.36
17000 Destruction of skin growth	21	19	$113.81	$62.81
99306 Initial nursing facility visit, typically 45 minutes per day	18	15	$192.87	$166.53
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	17	17	$258.62	$217.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.86	$165.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$280.96	$201.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$311.29	$206.67
90670 Pneumococcal vaccine for injection into muscle	12	11	$233.67	$199.99
G0009 Administration of pneumococcal vaccine	12	11	$35.58	$21.67
99285 Emergency department visit for life threatening or functioning severity	11	11	$255.27	$169.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	842	270	$77.23	$73.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	170	$113.43	$107.83
36415 Insertion of needle into vein for collection of blood sample	286	208	$5.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	215	209	$153.08	$144.39
93000 Routine ekg using at least 12 leads including interpretation and report	193	177	$18.30	$17.06
90662 Influenza vaccine split virus, preservative free	187	180	$46.04	$44.73
G0008 Administration of influenza virus vaccine	185	178	$33.36	$26.85
99336 Established patient assisted living visit, typically 40 minutes	157	60	$136.34	$131.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	125	68	$57.36	$54.16
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	87	23	$46.47	$44.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	46	$109.99	$103.10
G0442 Annual alcohol misuse screening, 5 to 15 minutes	56	56	$19.26	$18.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	50	50	$266.26	$171.27
99337 Established patient assisted living visit, typically 60 minutes	42	36	$188.12	$180.87
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	40	32	$133.28	$128.07
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	38	28	$189.19	$176.52
17000 Destruction of skin growth	32	28	$72.17	$67.55
69210 Removal of impacted ear wax	28	22	$52.43	$49.22
99306 Initial nursing facility visit, typically 45 minutes per day	26	18	$173.14	$165.41
G0009 Administration of pneumococcal vaccine	24	24	$41.71	$26.85
90670 Pneumococcal vaccine for injection into muscle	23	23	$196.52	$178.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$183.78	$163.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$251.90	$205.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$209.44	$199.91

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA G46283

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Isaac Freeman , MD

Family Medicine

NPI 1184656662

Doctor of Medicine (M.D.)

Elicia Alvarado

Nurse Practitioner - Primary Care

NPI 1265384291

Dr. Victor Hawkins , DDS

Dentist

NPI 1669649240

Doctor of Dental Surgery

Dr. Raquel Livoni , MD

Family Medicine

NPI 1679730956

Doctor of Medicine (M.D.)

Dr. John Henson , DDS

Dentist - Pediatric Dentistry

NPI 1679785307

Doctor of Dental Surgery

Dr. Camelia Cifor , DDS

Dentist - General Practice

NPI 1750609806

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2011

Registered at 6500 COYLE AVE, SUITE 1, CARMICHAEL, CA 956080301 (Tel: 9169674030)

📍

Updated Business Mailing Address December 01, 2011

Registered at 3010 BEARD RD, NAPA, CA 945583442 (Tel: 7072558825)

👤

Provider Name / Credentials Updated December 01, 2011

Recorded as LOU NISHIMURA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2011

Internal Medicine (License #G46283 in CA)

🟢

Initial NPI Registration & Enumeration August 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831207315

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 26, 2006

Last Update: December 01, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3010 Beard Rd

Napa, CA 945583442

Phone: 7072558825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.