Tomoyoshi Shigematsu, M.D., PH.D.
NPI 1093259368 · Neurological Surgery Physician · New York, NY
Enrolled with Medicare as Practitioner - Neurosurgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tomoyoshi Shigematsu, M.D., PH.D. is a Neurological Surgery Physician provider in New York, NY (NPI 1093259368).
Provider details
- NPI number
- 1093259368
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 296753 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
257 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 81 | $54 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 53 | $143 |
| Imaging of Blood Vessel75898 | 27 | $102 |
| Review By Radiologist of Image for Insertion of Material to Block Blood Flow75894 | 25 | $80 |
| Occlusion of Central Nervous System Or Spinal Cord Artery61624 | 24 | $1,169 |
| Insertion of Tube Into External Neck Artery for Diagnosis Or Treatment With Review By Radiologist36227 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,015 across 19 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 235 W 56th St Apt 14mNew York, NY 10019-4310Phone: (646) 623-8722
Registry dates
- Enumerated
- 2016-12-06
- Last updated
- 2022-10-11
- Certified
- 2022-10-11
Frequently asked questions
- What is Tomoyoshi Shigematsu's NPI number?
- Tomoyoshi Shigematsu's National Provider Identifier (NPI) is 1093259368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tomoyoshi Shigematsu's specialty?
- Tomoyoshi Shigematsu is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Tomoyoshi Shigematsu located?
- Tomoyoshi Shigematsu's practice location on file with NPPES is 1450 Madison Ave # 1136, New York, NY 10029-6508.
- What is Tomoyoshi Shigematsu's phone number?
- The practice phone number listed in the NPPES registry for Tomoyoshi Shigematsu is (212) 241-3400.
- Does Tomoyoshi Shigematsu accept Medicare?
- Tomoyoshi Shigematsu is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tomoyoshi Shigematsu's NPI active?
- Yes — Tomoyoshi Shigematsu's NPI (1093259368) is active in the NPPES registry as of the last update on 2022-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.