Active NPI 1659336543 Individual Practitioner Male Practitioner

Dr. Thomas I Kanomata , MD

Internal Medicine • Grass Valley, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Kanomata, MD is a certified Internal Medicine practicing in Grass Valley, CA. With approximately 36 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1990, Dr. Kanomata delivers high-quality medical care to the local community at 280 SIERRA COLLEGE DR.

Dr. Kanomata is affiliated with Dignity Health Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

280 Sierra College Dr
Suite 120

Grass Valley, CA 959455763

Telephone 5304774480

Fax 5302747532

Associated Practice Facility / Clinic

🏢 Grass Valley Extended Care Inc Facility NPI 1356765218

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Grass Valley, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +10.3 yrs vs City Avg

City Avg: 25.7 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

24 Specialists

Practicing in Grass Valley, CA (18502 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kanomata (36 Years) 36 Yrs

Grass Valley Specialty Average (25.7 Years) 25.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,959	610	$381.00	$135.65
99213 Established patient office or other outpatient visit, typically 15 minutes	436	295	$269.00	$96.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	291	66	$12.00	$0.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	271	271	$368.00	$140.44
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	240	240	$79.00	$20.68
G0008 Administration of influenza virus vaccine	115	113	$48.43	$32.64
90653 Vaccine for influenza for injection into muscle	105	105	$303.00	$81.82
J1885 Injection, ketorolac tromethamine, per 15 mg	104	24	$9.00	$0.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	64	$85.00	$15.23
93000 Routine ekg using at least 12 leads including interpretation and report	65	62	$70.00	$15.30
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	57	51	$191.00	$68.88
99495 Transitional care management services for problem of at least moderate complexity	49	37	$561.29	$221.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	48	48	$542.00	$178.09
81002 Urinalysis, manual test	46	40	$11.00	$3.41
20610 Aspiration and/or injection of fluid from large joint	28	23	$189.00	$68.98
G0009 Administration of pneumococcal vaccine	27	27	$81.00	$32.91
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$795.00	$290.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$339.00	$117.64
83036 Hemoglobin A1C level	24	20	$40.00	$9.52
69209 Removal of impacted ear wax by washing	24	18	$71.77	$16.57
87804 Detection test by immunoassay with direct visual observation for influenza virus	23	20	$51.00	$16.22
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	22	19	$146.00	$50.28
91320 Sarscv2 vac 30mcg trs-suc im	20	20	$275.31	$152.78
90480 Admn sarscov2 vacc 1 dose	20	20	$80.00	$43.88
96127 Assessment of emotional or behavioral problems	17	16	$27.00	$5.05
69210 Removal of impacted ear wax	15	12	$156.00	$50.92
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$51.00	$16.20

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	1,955	632	$378.08	$132.57
99213 Established patient office or other outpatient visit, typically 15 minutes	382	266	$265.75	$93.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	199	65	$12.00	$1.07
J1885 Injection, ketorolac tromethamine, per 15 mg	180	32	$9.00	$0.51
G0008 Administration of influenza virus vaccine	110	108	$30.00	$30.09
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	107	105	$214.15	$75.50
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	94	85	$146.00	$50.28
87804 Detection test by immunoassay with direct visual observation for influenza virus	91	82	$51.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	86	68	$85.00	$14.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$368.00	$134.99
81002 Urinalysis, manual test	58	49	$11.00	$3.41
87807 Detection test by immunoassay with direct visual observation for respiratory syncytial virus	57	53	$38.00	$12.84
G0009 Administration of pneumococcal vaccine	41	41	$81.00	$32.11
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	41	41	$795.00	$280.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	40	$542.00	$171.87
99495 Transitional care management services for problem of at least moderate complexity	38	32	$519.00	$213.57
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$70.00	$15.08
20610 Aspiration and/or injection of fluid from large joint	27	25	$192.50	$68.36
83036 Hemoglobin A1C level	20	20	$40.00	$9.52
69210 Removal of impacted ear wax	18	16	$156.00	$49.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$68.00	$24.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$515.00	$171.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$339.00	$115.98
99496 Transitional care management services for problem of high complexity	11	11	$729.00	$289.19
69209 Removal of impacted ear wax by washing	11	11	$67.95	$17.44

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	2,218	745	$339.00	$133.49
99213 Established patient office or other outpatient visit, typically 15 minutes	510	367	$229.00	$94.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	279	75	$12.00	$1.13
J1885 Injection, ketorolac tromethamine, per 15 mg	232	44	$9.00	$0.58
G0008 Administration of influenza virus vaccine	136	134	$30.00	$29.84
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	130	128	$183.00	$70.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	102	74	$85.00	$14.94
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	77	71	$146.00	$50.32
81002 Urinalysis, manual test	72	61	$11.00	$3.43
G0009 Administration of pneumococcal vaccine	68	67	$81.00	$31.49
20610 Aspiration and/or injection of fluid from large joint	47	38	$189.00	$67.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$542.00	$174.74
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$70.00	$14.95
90670 Pneumococcal vaccine for injection into muscle	28	28	$462.00	$250.03
83036 Hemoglobin A1C level	27	23	$40.00	$9.56
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$287.00	$132.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$368.00	$137.09
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	22	$51.00	$16.23
69209 Removal of impacted ear wax by washing	18	17	$68.61	$17.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$339.00	$116.48
69210 Removal of impacted ear wax	14	14	$156.00	$49.35
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$795.00	$278.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$515.00	$173.24

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	2,142	742	$339.00	$135.84
99213 Established patient office or other outpatient visit, typically 15 minutes	507	350	$229.00	$95.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	301	71	$12.00	$1.27
J1885 Injection, ketorolac tromethamine, per 15 mg	216	37	$9.00	$0.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	62	$85.00	$14.74
G0009 Administration of pneumococcal vaccine	73	73	$81.00	$18.02
G0008 Administration of influenza virus vaccine	63	63	$30.00	$18.03
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	55	55	$183.00	$66.43
93000 Routine ekg using at least 12 leads including interpretation and report	47	47	$70.00	$15.58
20610 Aspiration and/or injection of fluid from large joint	46	36	$189.00	$67.35
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	44	44	$287.00	$124.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$339.00	$117.22
90670 Pneumococcal vaccine for injection into muscle	31	31	$462.00	$238.84
69209 Removal of impacted ear wax by washing	26	25	$65.00	$15.67
81002 Urinalysis, manual test	25	22	$11.00	$3.48
17000 Destruction of skin growth	21	18	$211.00	$70.74
69210 Removal of impacted ear wax	16	15	$152.10	$49.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$368.00	$139.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$515.00	$175.03

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	1,525	681	$339.00	$114.21
99213 Established patient office or other outpatient visit, typically 15 minutes	533	361	$229.00	$78.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	382	83	$12.00	$1.47
J1885 Injection, ketorolac tromethamine, per 15 mg	232	33	$9.00	$0.49
G0008 Administration of influenza virus vaccine	201	201	$30.00	$17.75
99441 Telephone medical discussion with physician, 5-10 minutes	173	129	$63.25	$47.94
G0009 Administration of pneumococcal vaccine	119	119	$81.00	$17.68
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	117	117	$158.79	$58.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	107	69	$85.00	$14.47
99442 Telephone medical discussion with physician, 11-20 minutes	105	76	$103.59	$79.08
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	85	85	$57.00	$19.58
90670 Pneumococcal vaccine for injection into muscle	81	81	$462.00	$223.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$339.00	$112.76
20610 Aspiration and/or injection of fluid from large joint	50	41	$189.00	$65.56
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$287.00	$118.69
69209 Removal of impacted ear wax by washing	18	17	$65.00	$14.95
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$70.00	$18.01
81002 Urinalysis, manual test	15	15	$11.00	$3.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$456.00	$154.03
69210 Removal of impacted ear wax	13	11	$156.00	$50.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$139.00	$48.09

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	2,031	719	$339.00	$112.84
99213 Established patient office or other outpatient visit, typically 15 minutes	712	444	$229.00	$77.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	625	116	$7.02	$1.58
G0008 Administration of influenza virus vaccine	218	217	$30.00	$17.39
J1885 Injection, ketorolac tromethamine, per 15 mg	204	35	$2.30	$0.48
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	165	165	$57.00	$18.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	152	98	$81.71	$17.34
G0009 Administration of pneumococcal vaccine	79	78	$81.00	$17.39
93000 Routine ekg using at least 12 leads including interpretation and report	76	73	$55.68	$17.81
20610 Aspiration and/or injection of fluid from large joint	64	50	$189.00	$62.20
81002 Urinalysis, manual test	59	48	$11.00	$3.41
90653 Vaccine for influenza for injection into muscle	53	53	$303.00	$58.34
90670 Pneumococcal vaccine for injection into muscle	40	40	$462.00	$208.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$258.46	$110.79
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$236.00	$79.73
69209 Removal of impacted ear wax by washing	27	26	$48.81	$14.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$339.00	$112.39
17000 Destruction of skin growth	23	20	$211.00	$68.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$456.00	$144.47

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	2,106	738	$339.00	$111.19
99213 Established patient office or other outpatient visit, typically 15 minutes	582	402	$229.00	$75.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	571	122	$5.43	$1.81
J1885 Injection, ketorolac tromethamine, per 15 mg	243	45	$1.41	$0.58
G0008 Administration of influenza virus vaccine	231	229	$30.00	$21.52
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	227	227	$57.00	$18.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	171	118	$81.00	$21.60
85610 Blood test, clotting time	97	20	$17.00	$4.75
93000 Routine ekg using at least 12 leads including interpretation and report	82	80	$54.00	$17.59
81002 Urinalysis, manual test	53	47	$11.00	$3.41
20610 Aspiration and/or injection of fluid from large joint	51	42	$189.00	$61.40
G0009 Administration of pneumococcal vaccine	49	49	$81.00	$21.52
90670 Pneumococcal vaccine for injection into muscle	30	30	$462.00	$198.57
69209 Removal of impacted ear wax by washing	28	27	$43.50	$15.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$339.00	$110.95
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$234.00	$105.59
17000 Destruction of skin growth	17	13	$211.00	$69.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$139.00	$45.53
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$236.00	$77.78
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	11	11	$170.00	$55.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$456.00	$149.40

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	2,214	741	$339.00	$109.42
99213 Established patient office or other outpatient visit, typically 15 minutes	447	307	$229.00	$74.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	394	81	$5.43	$1.80
G0008 Administration of influenza virus vaccine	230	222	$30.00	$26.83
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	224	216	$56.56	$18.65
J1885 Injection, ketorolac tromethamine, per 15 mg	202	32	$1.41	$0.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	147	86	$81.00	$26.60
G0009 Administration of pneumococcal vaccine	119	119	$81.00	$26.83
81002 Urinalysis, manual test	78	70	$11.00	$3.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	64	64	$234.00	$93.19
90670 Pneumococcal vaccine for injection into muscle	55	55	$462.00	$184.25
93000 Routine ekg using at least 12 leads including interpretation and report	52	50	$54.00	$17.43
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	40	39	$170.00	$54.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	17	$64.00	$20.88
20610 Aspiration and/or injection of fluid from large joint	25	19	$189.00	$61.35
85610 Blood test, clotting time	19	13	$17.00	$5.28
17000 Destruction of skin growth	15	14	$211.00	$68.88
G0179 Physician re-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 to affirm the initial imp	15	11	$131.00	$42.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$139.00	$44.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$456.00	$147.62

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 66689

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003116311A (GA)

Hospital & Practice Group Affiliations

Dignity Health Medical Foundation

280 Sierra College Dr, Grass Valley, CA 959455763

Phone: 5304774420

Practice Associates & Co-Workers

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

27 Associated Practitioners

Genevieve Buckley , FNP-C

Nurse Practitioner

NPI 1104163484

Family Nurse Practitioner (Certified)

Dr. Dwijesh Sheth , MD

Hospitalist

NPI 1134758576

Doctor of Medicine (M.D.)

Dr. Mihir Sura , MD

Hospitalist

NPI 1144575937

Doctor of Medicine (M.D.)

Dr. Ingrid Bauer , MD

Hospitalist

NPI 1194111393

Doctor of Medicine (M.D.)

Dr. Adam Khalil , MD

Radiology - Vascular & Interventional Radiology

NPI 1225448616

Doctor of Medicine (M.D.)

Dr. Harris Barakzoy , DO

Hospitalist

NPI 1235879248

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2014

Registered at 280 SIERRA COLLEGE DR, SUITE 120, GRASS VALLEY, CA 959455763 (Tel: 5304774480)

📍

Updated Business Mailing Address September 16, 2014

Registered at 3400 DATA DR, PHYSICIAN SUPPORT SERVICES - 2ND FL, RANCHO CORDOVA, CA 956707956

👤

Provider Name / Credentials Updated September 16, 2014

Recorded as THOMAS KANOMATA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2014

Internal Medicine (License #66689 in GA)

🟢

Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659336543

Entity Type:

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

Enumeration Date: April 20, 2006

Last Update: September 16, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3400 Data Dr, Physician Support Services - 2nd Fl

Rancho Cordova, CA 956707956

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.