NPPES file of Aug 9, 2026

Fred Kusumoto, MD

Clinical Cardiac Electrophysiology Physician · Jacksonville, FL

Fred Kusumoto, MD is a clinical cardiac electrophysiology physician with a practice address in Jacksonville, Florida, and NPI 1265429427, issued on Oct 3, 2005. Check the license (Florida ME91015, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265429427
Name
Fred Kusumoto
Credential
MD
Primary taxonomy
Clinical Cardiac Electrophysiology Physician 207RC0001X
License number
ME91015 FL
Self-reported in NPPES; status is on the state search
Practice location
4500 San Pablo RD S, Jacksonville, FL 32224
Phone
(904) 953-2000
Enumerated
Oct 3, 2005
Record last updated
Aug 31, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20041013001356); accepts Medicare assignment
Medical or professional school
Un Of California, Irvine, College Of Medicine, 1986
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 4500 San Pablo RD S

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. David Abarbanel, MDNeurology Physician1598298242
  2. Ejigayehu Abate, MDEndocrinology, Diabetes & Metabolism Physician1679615116
  3. Suhny Abbara, MDDiagnostic Radiology Physician1538150180
  4. Sara Abbas, PA-CPhysician Assistant1356121206
  5. Carol Abbott, ARNP, FNP-CNurse Practitioner1629427240
  6. Zaid Abdel Rahman, M.D.Hematology (Internal Medicine) Physician1003299330

Verify Fred Kusumoto in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME91015
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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89% fewer Medicare Part D claims than the average clinical cardiac electrophysiology physician in 2024

188 Medicare Part D claims for 62 beneficiaries, against an average of 1,710 among the 3,173 providers of this specialty who prescribed in Part D. Brand-name drugs were 40% of claims.

  1. Fred Kusumoto188
  2. Specialty average1,710

Most prescribed

  1. Eliquis47 claims
  2. Multaq23 claims
  3. Dofetilide18 claims
  4. Flecainide Acetate16 claims
  5. Metoprolol Tartrate14 claims
  6. Diltiazem 24hr Er (Cd)11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score69.3
  2. Costout of 100 · 30%51.3
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Mayo Clinic JacksonvilleSaint Augustine, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Fred Kusumoto among 262 clinical cardiac electrophysiology physician records in Florida

Fred Kusumoto, MD is one of 262 clinical cardiac electrophysiology physician records with a practice address in Florida. 97% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 85% newer
  • In a Medicare fileYes · 97% of these records are
  • In the CMS Doctors and Clinicians fileYes · 93% of these records are
  • Graduated1986 · median 2001 among the 243 with a school on file
  • Record last updated2020 · 41% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0001X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Cardiac Electrophysiology Physician providers in Florida

There are 262 clinical cardiac electrophysiology physician records in Florida.

The 8 clinical cardiac electrophysiology physician records with the nearest ZIP codes

  1. Thomas Flipse, MDJacksonville, FL 322241710974977
  2. Midiia Shuman, MDJacksonville, FL 322241407475973
  3. Jeanwoo Yoo, DOJacksonville, FL 322241255836219
  4. Takumi Yamada, M.D.Jacksonville, FL 322311205135381
  5. Robert Luke, MDJacksonville, FL 322161992707327
  6. Dinesh Pubbi, M.D.Jacksonville, FL 322161861454423
  7. Steve Hsu, M.D.Jacksonville, FL 322091518934421
  8. Jessica Kaczmarek, MDJacksonville, FL 322091376049460

Common questions

What is Fred Kusumoto, MD's NPI number?

Fred Kusumoto, MD's National Provider Identifier (NPI) is 1265429427, issued on Oct 3, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Fred Kusumoto, MD located?

The NPPES record lists a practice address at 4500 San Pablo RD S, Jacksonville, FL, 32224. Phone: (904) 953-2000. Providers update this record themselves, so call before visiting.

How can I verify Fred Kusumoto, MD's license?

NPPES lists Florida license number ME91015, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Fred Kusumoto, MD prescribe under Medicare Part D?

In 2024, Fred Kusumoto, MD had 188 Medicare Part D claims for 62 beneficiaries; the average among clinical cardiac electrophysiology physician prescribers was 1,710. Part D covers Medicare prescriptions only.

What is Fred Kusumoto, MD's MIPS final score?

The 2023 MIPS final score is 76.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.