Active NPI 1376687772 Individual Practitioner Male Practitioner

Dr. Kenichi T Miyata , MD

Surgery • Merced, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenichi Miyata, MD is a certified Surgery practicing in Merced, CA. With approximately 20 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2006, Dr. Miyata delivers high-quality medical care to the local community at 3393 G ST.

Dr. Miyata is affiliated with Golden Valley Health Centers and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3393 G St
D

Merced, CA 953400964

Telephone 2092309065

Fax 2093498511

Associated Practice Facility / Clinic

🏢 Dva Renal Healthcare Inc Facility NPI 1639143332

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Merced, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -9.4 yrs vs City Avg

City Avg: 29.4 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

11 Specialists

Practicing in Merced, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miyata (20 Years) 20 Yrs

Merced Specialty Average (29.4 Years) 29.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	46	$193.41	$92.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$355.48	$168.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	44	$274.20	$130.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$233.00	$112.94
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	24	$1478.00	$111.95
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	20	20	$1500.00	$102.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$118.00	$57.95
64772 Incision or removal of spinal nerve	14	14	$1500.00	$278.34
49507 Repair of trapped groin hernia patient age 5 years or older	14	14	$3000.00	$570.19
15853 Removal of sutures or staples	14	13	$25.00	$12.33
55520 Removal of spermatic cord growth	13	13	$1500.00	$224.57

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	120	91	$275.33	$130.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$351.24	$169.26
99213 Established patient office or other outpatient visit, typically 15 minutes	67	44	$195.49	$89.27
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	38	36	$1488.55	$103.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$236.11	$111.92
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	27	$1481.79	$103.30
64772 Incision or removal of spinal nerve	25	24	$1500.00	$282.71
49507 Repair of trapped groin hernia patient age 5 years or older	23	22	$3000.00	$562.19
55520 Removal of spermatic cord growth	18	17	$1500.00	$227.67
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	11	$1412.00	$199.79

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	141	93	$270.00	$130.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$348.00	$170.64
99213 Established patient office or other outpatient visit, typically 15 minutes	55	39	$190.00	$92.30
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	28	28	$1500.00	$104.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$376.00	$185.67
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	21	$1500.00	$264.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$233.00	$115.74
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	18	$1500.00	$107.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$457.78	$216.13
49561 Repair of trapped incisional or abdominal hernia	16	16	$2500.00	$960.85
49507 Repair of trapped groin hernia patient age 5 years or older	14	14	$3000.00	$554.36
64772 Incision or removal of spinal nerve	14	14	$1500.00	$286.33
55520 Removal of spermatic cord growth	13	13	$1500.00	$232.30
49568 Placement of mesh to repair incisional or abdominal hernia	12	11	$2500.00	$263.14

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	141	98	$262.68	$134.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$346.95	$173.77
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	39	35	$867.62	$105.80
64772 Incision or removal of spinal nerve	23	23	$1237.30	$290.66
49507 Repair of trapped groin hernia patient age 5 years or older	22	22	$1524.41	$557.38
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$180.00	$95.12
55520 Removal of spermatic cord growth	19	19	$1084.68	$234.14
49561 Repair of trapped incisional or abdominal hernia	15	15	$1984.27	$987.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	13	$859.81	$219.40
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$865.50	$98.22
47562 Removal of gallbladder using an endoscope	11	11	$1343.09	$518.45

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	156	103	$227.00	$113.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$341.00	$170.31
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$155.00	$77.89
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	29	27	$674.00	$107.54
49561 Repair of trapped incisional or abdominal hernia	22	19	$1826.64	$982.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$428.00	$215.24
64772 Incision or removal of spinal nerve	20	19	$1171.00	$292.96
49507 Repair of trapped groin hernia patient age 5 years or older	19	18	$1199.00	$524.31
55520 Removal of spermatic cord growth	16	16	$934.00	$235.28
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$646.00	$214.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	88	$151.96	$73.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$221.84	$106.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	42	$224.10	$106.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$334.77	$163.06
47562 Removal of gallbladder using an endoscope	13	13	$1345.00	$615.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$92.64	$45.43
64772 Incision or removal of spinal nerve	11	11	$1171.00	$278.87
49507 Repair of trapped groin hernia patient age 5 years or older	11	11	$1199.00	$545.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	117	$112.97	$69.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$258.73	$159.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$165.52	$104.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	46	$167.52	$104.86
47562 Removal of gallbladder using an endoscope	16	16	$1084.63	$623.43
55520 Removal of spermatic cord growth	12	11	$708.50	$216.59
64772 Incision or removal of spinal nerve	12	11	$872.33	$295.09
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$525.91	$324.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	95	$110.40	$70.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$249.38	$161.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$164.18	$104.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	51	$160.54	$101.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	17	$164.00	$132.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$321.00	$256.85
64772 Incision or removal of spinal nerve	16	16	$850.00	$350.43
47562 Removal of gallbladder using an endoscope	15	15	$1243.33	$650.28
49561 Repair of trapped incisional or abdominal hernia	15	13	$1428.73	$782.35
49507 Repair of trapped groin hernia patient age 5 years or older	13	13	$981.08	$606.19
55520 Removal of spermatic cord growth	13	13	$707.54	$227.11

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A117496

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Golden Valley Health Centers

1524 Mchenry Ave, Modesto, CA 953504570

Phone: 2097224842

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Juan Rodriguez , MD

Internal Medicine - Nephrology

NPI 1083031033

Doctor of Medicine (M.D.)

Dr. Thanh Nguyen , MD

Internal Medicine - Nephrology

NPI 1346419918

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 28, 2013

Registered at 3393 G ST, D, MERCED, CA 953400964 (Tel: 2092309065)

📍

Updated Business Mailing Address May 28, 2013

Registered at 3393 G ST, D, MERCED, CA 953400964 (Tel: 2092303065)

👤

Provider Name / Credentials Updated May 28, 2013

Recorded as KENICHI MIYATA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2013

Surgery (License #A117496 in CA)

🟢

Initial NPI Registration & Enumeration February 18, 2007

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: 1376687772

Entity Type:

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

Enumeration Date: February 18, 2007

Last Update: May 28, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3393 G St, D

Merced, CA 953400964

Phone: 2092303065

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.