2026 NPPES data Foot & Ankle Surgery Podiatrist NPI 1104816230 D.P.M.
Verify on CMS →

Roger Tsutsumi, D.P.M.

Foot & Ankle Surgery Podiatrist in Riverside, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,920 in Foot & Ankle Surgery Podiatrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
566
Medicare Part D claims · 268 beneficiaries · Foot & Ankle Surgery Podiatrist avg: 309
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Industry payments
$218.81
9 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Roger Tsutsumi, D.P.M. reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 566 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
566
Part D claims, 2023
93%
generic prescribing
$218.81
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Roger Tsutsumi, D.P.M.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Roger Tsutsumi, D.P.M. sits

This provider among foot & ankle surgery podiatrist peers

Across the 3,155 foot & ankle surgery podiatrist providers who report both Medicare Part D prescribing and a MIPS quality score, Roger Tsutsumi, D.P.M. writes more Part D claims than 85% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 92Roger Tsutsumi, D.P.M.-Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one foot & ankle surgery podiatrist peer from a representative sample of 60; the gold marker is Roger Tsutsumi, D.P.M.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Roger Tsutsumi, D.P.M.?

Below national average

NPI registry status

Active

Issued 10/28/2005

NPI 1104816230

Primary specialty

Foot & Ankle Surgery Podiatrist

Mid-sized

8,920 US NPIs in this specialty

Medicare Part D claims

566 83% vs specialty avg

2023 prescription claims

Specialty avg: 309

MIPS final score

0/100 83.1 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Foot & Ankle Surgery Podiatrist compares to other specialties among California providers

California providers
Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Foot & Ankle Surgery Podiatrist - 0.1%Foot & Ankle Surgery Podiatrist0.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Roger Tsutsumi, D.P.M.'s 2023 MIPS final score plotted against the Foot & Ankle Surgery Podiatrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Foot & Ankle Surgery Podiatrist) - 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Foot & Ankle Surgery Podiatrist) - 0/100 vs national avg 83.1
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Roger Tsutsumi, D.P.M. appears in the CMS NPPES registry as a Foot & Ankle Surgery Podiatrist provider holding D.P.M. credentials at 7111 MAGNOLIA AVE STE 100, Riverside, CA, 92504, with a listed phone of (951) 359-8802. NPI 1104816230 was issued on 10/28/2005.

Medicare Part D records for calendar year 2023 show 566 prescription claims written by this provider, covering 268 Medicare beneficiaries and totaling roughly $16K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 3.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Foot & Ankle Surgery Podiatrist is a mid-sized specialty nationwide, with 8,920 enrolled providers across 53 states and an average of 309 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

7111 MAGNOLIA AVE STE 100
Riverside, CA 92504

Provider Details

NPI 1104816230
Specialty Foot & Ankle Surgery Podiatrist
Credentials D.P.M.
Gender Male
NPI Issued 10/28/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Roger Tsutsumi, D.P.M.. Source: openpaymentsdata.cms.gov.

Total received

$219

Largest payer

Smith+Nephew, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Roger Tsutsumi, D.P.M.. To verify Roger Tsutsumi, D.P.M.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Roger Tsutsumi, D.P.M. - brand share 7.0%
Foot & Ankle Surgery Podiatrist average

7% brand-name claims vs 93% generic, on 566 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

566
Total Claims
$16K
Total Drug Cost
268
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
672
Total Day Supply
14,245
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$770
Generic Drug Cost
$15K
Opioid Claims
19 (3.4% rate)
Antibiotic Claims
193

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
2.27
Gender Split
56% female / 44% male
Age Distribution
<65: 49, 65-74: 124, 75-84: 66, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Roger Tsutsumi, D.P.M. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ketoconazole
181
Cephalexin
171
Silver Sulfadiazine
21
Ssd
Silver Sulfadiazine
20
Ibuprofen
18
Meloxicam
18
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
16
Terbinafine Hcl
16
Clindamycin Hcl
15
Alprazolam
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Foot & Ankle Surgery Podiatrist Overview

How Roger Tsutsumi, D.P.M. fits within the Foot & Ankle Surgery Podiatrist landscape nationally.

8,920
Foot & Ankle Surgery Podiatrist Providers in US
53
States with Foot & Ankle Surgery Podiatrist
309
Avg Claims per Provider

Roger Tsutsumi, D.P.M.'s 566 claims are above the specialty average of 309.

Nearby Foot & Ankle Surgery Podiatrist Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Tsutsumi.

Compare Foot & Ankle Surgery Podiatrist nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Foot & Ankle Surgery Podiatrist peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Roger Tsutsumi, D.P.M.'s specialty?
Roger Tsutsumi, D.P.M. specializes in Foot & Ankle Surgery Podiatrist and practices in Riverside, California. Credentials: D.P.M..
How much does Roger Tsutsumi, D.P.M. prescribe under Medicare Part D?
In 2023, Roger Tsutsumi, D.P.M. wrote 566 Medicare Part D claims totaling $16K in drug costs for 268 beneficiaries.
What is Roger Tsutsumi, D.P.M.'s Medicare quality score?
Roger Tsutsumi, D.P.M. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Roger Tsutsumi, D.P.M. located?
Roger Tsutsumi, D.P.M. is located at 7111 MAGNOLIA AVE STE 100, Riverside, CA, 92504. Phone: (951) 359-8802.
What is Roger Tsutsumi, D.P.M.'s NPI number?
Roger Tsutsumi, D.P.M.'s National Provider Identifier (NPI) is 1104816230, issued on 10/28/2005.
Does Roger Tsutsumi, D.P.M. prescribe more brand-name or generic drugs?
Roger Tsutsumi, D.P.M.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $770 in brand drug costs.
Does Roger Tsutsumi, D.P.M. prescribe opioids?
Yes, Roger Tsutsumi, D.P.M. had 19 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Foot & Ankle Surgery Podiatrist providers are there in the US?
There are 8,920 Foot & Ankle Surgery Podiatrist providers across 53 states in the US. The average Foot & Ankle Surgery Podiatrist provider writes 309 Medicare Part D claims per year.
What drugs does Roger Tsutsumi, D.P.M. prescribe most often?
Based on 2023 Medicare Part D data, Roger Tsutsumi, D.P.M.'s most frequently prescribed drugs include Ketoconazole, Cephalexin, Silver Sulfadiazine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roger Tsutsumi, D.P.M. accept Medicare?
Roger Tsutsumi, D.P.M. appears in CMS Medicare data with 566 Part D claims and 268 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roger Tsutsumi, D.P.M.'s credentials?
Roger Tsutsumi, D.P.M.'s NPI is 1104816230 with credentials D.P.M.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.