Active NPI 1699868844 Individual Practitioner Male Practitioner

Dr. Michael James Miyashiro , MD

Ophthalmology • Gainesville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Miyashiro, MD is a certified Ophthalmology practicing in Gainesville, FL. With approximately 30 years of clinical experience since graduating from University Of Hawaii John A. Burns School Of Medicine in 1996, Dr. Miyashiro delivers high-quality medical care to the local community at 2521 NW 41ST ST.

Dr. Miyashiro maintains professional affiliations with Newsom Eye And Laser Center Inc, Ocala Eye Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2521 Nw 41st St

Gainesville, FL 326066630

Telephone 3523777733

Fax 3523779577

Associated Practice Facility / Clinic

🏢 Eye Surgicenter Llc Facility NPI 1336184027

Medicare Profile & Education

Medical School

University Of Hawaii John A. Burns School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Gainesville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +6.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

53 Specialists

Practicing in Gainesville, FL (1686 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

-0.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miyashiro (30 Years) 30 Yrs

Gainesville Specialty Average (23.7 Years) 23.7 Yrs

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	303	296	$124.40	$124.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	112	$54.99	$55.31
92134 Imaging of retina	125	122	$38.80	$39.05
92133 Imaging of optic nerve	66	66	$36.51	$35.49
99213 Established patient office or other outpatient visit, typically 15 minutes	52	47	$88.23	$88.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$164.56	$164.90
92083 Exam of visual field with extended testing	24	24	$59.41	$59.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	777	413	$136.18	$99.18
92250 Photography of the retina	388	384	$125.65	$43.46
92014 Established patient complete exam of visual system	317	282	$204.39	$138.58
92083 Exam of visual field with extended testing	191	185	$146.60	$70.72
92133 Imaging of optic nerve	161	150	$73.30	$39.89
92134 Imaging of retina	110	87	$86.91	$44.18
92285 Photography of content of eyes	59	46	$52.36	$25.01
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	51	29	$628.27	$327.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$172.77	$121.29
92004 New patient complete exam of visual system	27	27	$235.60	$166.38
92020 Examination of cornea and iris using lens device and slit lamp	27	27	$73.30	$30.70
15823 Removal of excessive skin and fat of upper eyelid	25	25	$2765.35	$804.47
66821 Removal of recurring cataract in lens capsule using a laser	21	16	$523.56	$371.89
92132 Imaging of front third of eye	18	18	$92.88	$32.13
65855 Laser repair to improve eye fluid flow	18	12	$523.56	$271.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$172.77	$140.20
76514 Ultrasound scan of cornea to determine thickness	11	11	$26.18	$11.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,189	627	$113.74	$96.81
92250 Photography of the retina	726	708	$113.63	$49.84
92014 Established patient complete exam of visual system	676	620	$165.03	$137.45
92133 Imaging of optic nerve	287	284	$103.33	$40.59
92083 Exam of visual field with extended testing	285	278	$123.98	$70.07
92134 Imaging of retina	225	209	$103.52	$44.73
66984 Removal of cataract with insertion of lens	145	101	$1347.88	$582.33
92004 New patient complete exam of visual system	116	116	$171.60	$163.61
66821 Removal of recurring cataract in lens capsule using a laser	72	51	$517.36	$360.85
65855 Laser repair to improve eye fluid flow	52	33	$516.02	$268.93
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	48	29	$667.49	$328.37
92082 Exam of visual field with intermediate testing	40	40	$92.91	$51.07
92020 Examination of cornea and iris using lens device and slit lamp	27	27	$76.85	$30.07
92136 Measurement of corneal curvature and depth of eye	22	22	$134.43	$69.65
76514 Ultrasound scan of cornea to determine thickness	19	19	$20.66	$12.98
15823 Removal of excessive skin and fat of upper eyelid	14	14	$2225.36	$799.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	773	430	$113.83	$94.63
92014 Established patient complete exam of visual system	640	589	$165.30	$136.11
92250 Photography of the retina	600	589	$113.63	$55.13
92133 Imaging of optic nerve	313	309	$103.42	$39.13
92083 Exam of visual field with extended testing	260	257	$124.04	$69.84
66984 Removal of cataract with insertion of lens	186	140	$1347.46	$668.83
92004 New patient complete exam of visual system	144	144	$171.55	$160.90
92134 Imaging of retina	126	115	$103.47	$43.88
92136 Measurement of corneal curvature and depth of eye	120	120	$134.43	$75.44
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	104	60	$669.79	$315.15
66821 Removal of recurring cataract in lens capsule using a laser	69	54	$516.91	$360.65
65855 Laser repair to improve eye fluid flow	41	25	$517.78	$265.67
92020 Examination of cornea and iris using lens device and slit lamp	36	36	$77.25	$29.64
92082 Exam of visual field with intermediate testing	33	33	$93.07	$52.43
66982 Complex removal of cataract with insertion of prosthetic lens	32	28	$1652.08	$845.20
65778 Insertion of amniotic membrane to eye surface	25	12	$1984.36	$1622.58
99213 Established patient office or other outpatient visit, typically 15 minutes	23	15	$103.99	$78.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$139.82	$99.94
15823 Removal of excessive skin and fat of upper eyelid	13	13	$1279.74	$877.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	840	14	$9.79	$5.12
92012 Established patient problem focused exam of visual system	678	425	$113.82	$89.10
92014 Established patient complete exam of visual system	631	575	$165.50	$127.87
92250 Photography of the retina	611	604	$113.77	$58.54
92133 Imaging of optic nerve	285	282	$103.38	$37.62
92083 Exam of visual field with extended testing	246	239	$124.19	$66.29
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	119	69	$672.98	$301.18
92004 New patient complete exam of visual system	105	105	$170.82	$150.98
92134 Imaging of retina	103	99	$103.44	$41.56
92136 Measurement of corneal curvature and depth of eye	97	97	$134.47	$82.49
66984 Removal of cataract with insertion of lens	67	56	$1340.42	$638.05
92020 Examination of cornea and iris using lens device and slit lamp	61	61	$77.56	$26.66
66982 Complex removal of cataract with insertion of prosthetic lens	50	43	$1657.33	$780.82
99213 Established patient office or other outpatient visit, typically 15 minutes	47	31	$103.28	$73.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$139.60	$103.76
66821 Removal of recurring cataract in lens capsule using a laser	44	38	$518.46	$339.50
65855 Laser repair to improve eye fluid flow	40	27	$516.14	$230.83
92082 Exam of visual field with intermediate testing	29	29	$92.84	$50.16
15823 Removal of excessive skin and fat of upper eyelid	23	23	$1280.43	$816.71
65778 Insertion of amniotic membrane to eye surface	23	13	$1990.01	$1533.54
68115 Removal of (over 1 centimeter) growth of sclera	16	13	$343.75	$180.46
65779 Placement of amniotic membrane on eye surface with sutures for wound healing	16	13	$467.58	$75.52
67961 Removal of up to 1/4 of eyelid margin and repair of eyelid	12	11	$726.73	$379.69
92285 Photography of content of eyes	11	11	$51.51	$20.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	2,581	44	$10.45	$6.89
92014 Established patient complete exam of visual system	696	611	$165.56	$123.91
92012 Established patient problem focused exam of visual system	635	391	$113.84	$85.70
92250 Photography of the retina	609	599	$113.77	$67.84
92133 Imaging of optic nerve	240	239	$103.53	$36.76
92083 Exam of visual field with extended testing	229	224	$124.28	$63.83
92134 Imaging of retina	115	107	$103.66	$41.62
99213 Established patient office or other outpatient visit, typically 15 minutes	113	65	$103.65	$72.52
92004 New patient complete exam of visual system	82	82	$169.94	$147.39
92136 Measurement of corneal curvature and depth of eye	74	74	$133.59	$89.02
65855 Laser repair to improve eye fluid flow	64	40	$516.60	$240.51
66984 Removal of cataract with insertion of lens	62	56	$1333.19	$629.38
65778 Insertion of amniotic membrane to eye surface	51	24	$1971.74	$1524.85
66821 Removal of recurring cataract in lens capsule using a laser	50	45	$516.25	$328.69
92082 Exam of visual field with intermediate testing	41	41	$93.20	$49.92
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	39	27	$661.80	$300.58
66982 Complex removal of cataract with insertion of prosthetic lens	36	30	$1649.99	$771.71
92020 Examination of cornea and iris using lens device and slit lamp	35	35	$77.05	$26.96
15823 Removal of excessive skin and fat of upper eyelid	34	34	$1282.54	$797.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$138.56	$107.25
65779 Placement of amniotic membrane on eye surface with sutures for wound healing	18	14	$468.75	$74.47
68115 Removal of (over 1 centimeter) growth of sclera	17	13	$343.75	$183.91
92285 Photography of content of eyes	15	15	$51.66	$20.39

Medical Specialties & State Licenses

CMS Verified: 2025-01-29

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME142980

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License HI 10320

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

52128802 (HI)

Commercial Insurance / Payer ID Hmsa

236430 (HI)

Hospital & Practice Group Affiliations

Newsom Eye And Laser Center Inc

2521 Nw 41st St, Gainesville, FL 326066630

Phone: 3523777733

Ocala Eye Pa

4414 Sw College Rd, Ocala, FL 344742701

Phone: 3526225183

Secondary Practice Locations

47 Lanihuli Street

Hilo, HI 967204142

Phone: 8089614711

Practice Associates & Co-Workers

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

4 Associated Practitioners

Kimberly Gray , CRNA

Nurse Anesthetist, Certified Registered

NPI 1598868481

Certified Registered Nurse Anesthetist

Marissa Cruz

Optometrist

NPI 1841979937

Dr. Adam Anhalt , OD

Optometrist

NPI 1851376453

Doctor of Optometry

Dr. William Newsom , MD

Ophthalmology

NPI 1891770491

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 29, 2025

Registered at 2521 NW 41ST ST, GAINESVILLE, FL 326066630 (Tel: 3523777733)

📍

Updated Business Mailing Address January 29, 2025

Registered at 13904 N DALE MABRY HWY STE 200, TAMPA, FL 336182446 (Tel: 8139082020)

✅

NPI Profile Active April 15, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2009

Registered at 47 LANIHULI STREET, HILO, HI 967204142 (Tel: 8089614711)

📍

Updated Business Mailing Address April 15, 2009

Registered at 47 LANIHULI STREET, HILO, HI 967204142 (Tel: 8089614711)

👤

Provider Name / Credentials Updated April 15, 2009

Recorded as MICHAEL MIYASHIRO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2009

Ophthalmology (License #10320 in HI)

🟢

Initial NPI Registration & Enumeration October 02, 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: 1699868844

Entity Type:

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

Enumeration Date: October 02, 2006

Last Update: January 29, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13904 N Dale Mabry Hwy Ste 200

Tampa, FL 336182446

Phone: 8139082020

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.