Ray Kusumoto, PA
NPI 1194850800 · Medical Physician Assistant · Hollister, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ray Kusumoto, PA is a Medical Physician Assistant provider in Hollister, CA (NPI 1194850800).
Provider details
- NPI number
- 1194850800
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA13954 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
27 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 14 | $133 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 13 | $16 |
Typical Medicare-allowed amounts for these services range $16–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 82 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 259 | 79 |
| Amlodipine Besylate | 205 | 66 |
| Levothyroxine Sodium | 187 | 50 |
| Rosuvastatin Calcium | 162 | 52 |
| Metoprolol Succinate | 134 | 41 |
| Metformin Hclbrand: Metformin Hcl Er | 114 | 35 |
Practice location
Mailing address
Additional practice locations (1)
- 890 Sunset DrSuite A2Hollister, CA 95023-5651Phone: (831) 636-3116Fax: (831) 636-1204
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Frequently asked questions
- What is Ray Kusumoto's NPI number?
- Ray Kusumoto's National Provider Identifier (NPI) is 1194850800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ray Kusumoto's specialty?
- Ray Kusumoto is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ray Kusumoto located?
- Ray Kusumoto's practice location on file with NPPES is 591 Mccray St Ste 231, Hollister, CA 95023-2224.
- What is Ray Kusumoto's phone number?
- The practice phone number listed in the NPPES registry for Ray Kusumoto is (831) 636-3116.
- Does Ray Kusumoto accept Medicare?
- Ray Kusumoto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ray Kusumoto's NPI active?
- Yes — Ray Kusumoto's NPI (1194850800) is active in the NPPES registry as of the last update on 2025-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.