Medicare Enrolled

Dr. Mark Tsuchiyose, M.D.

Gastroenterology · Daly City, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
1850 SULLIVAN AVENUE #520, Daly City, CA 94015
6507565000
In practice since 2005 (20 years)
NPI: 1063412195 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Tsuchiyose from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Tsuchiyose

Dr. Mark Tsuchiyose is a gastroenterology specialist in Daly City, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Tsuchiyose performed 1,115 Medicare services across 566 unique beneficiaries.

Between the years covered by Open Payments, Dr. Tsuchiyose received a total of $49,826 from 43 pharmaceutical and/or device companies across 687 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Tsuchiyose is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 29% volume in CA $49,826 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,115
Medicare services
Top 29% in CA for gastroenterology
566
Unique beneficiaries
$88
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~56 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
295 $44 $240
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
247 $107 $600
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
173 $56 $300
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
56 $93 $615
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
46 $103 $849
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
44 $76 $440
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
44 $67 $358
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
38 $140 $780
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
38 $158 $840
Liver stiffness measurement
A non-invasive test that uses ultrasound or similar technology to measure the stiffness of liver tissue. This measurement helps assess the degree of liver fibrosis or scarring.
34 $28 $160
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
31 $220 $1,086
External hemorrhoid removal by rubber banding
A procedure to remove external hemorrhoids using rubber bands to cut off blood supply. The affected tissue is tied off and eventually falls off.
29 $280 $1,420
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
16 $197 $808
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
13 $110 $600
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
11 $115 $557
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$49,826
Total received (2018-2024)
Avg $7,118/year across 7 years
Top 7% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
687
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$36,874 (74.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,063 (22.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,889 (3.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,273
2023
$1,606
2022
$1,962
2021
$8,191
2020
$4,873
2019
$12,431
2018
$19,490

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$435
Madrigal Pharmaceuticals
$161
Phathom Pharmaceuticals, Inc.
$131
Celltrion USA Inc.
$103
Gilead Sciences, Inc.
$95
Janssen Biotech, Inc.
$71
Lilly USA, LLC
$64
Braintree Laboratories, Inc.
$55
AIMMUNE THERAPEUTICS, INC.
$44
Intercept Pharmaceuticals, Inc.
$41
Ipsen Biopharmaceuticals, Inc
$28
Merck Sharp & Dohme LLC
$23
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$22
Top 3 companies account for 57.1% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie, Inc.
$28,766
AbbVie Inc.
$8,518
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$3,163
RedHill Biopharma Inc.
$2,125
Gilead Sciences, Inc.
$1,813
Takeda Pharmaceuticals U.S.A., Inc.
$789
ABBVIE INC.
$785
Janssen Biotech, Inc.
$625
Boston Scientific Corporation
$260
Daiichi Sankyo Inc.
$258
Intercept Pharmaceuticals, Inc.
$241
Braintree Laboratories, Inc.
$223
Ironwood Pharmaceuticals, Inc
$221
Concordia Pharmaceuticals Inc.
$193
Merck Sharp & Dohme Corporation
$181
Madrigal Pharmaceuticals
$161
Synergy Pharmaceuticals Inc
$144
Celltrion USA Inc.
$143
Nestle HealthCare Nutrition Inc.
$134
Phathom Pharmaceuticals, Inc.
$131
Ferring Pharmaceuticals Inc.
$113
INTERCEPT PHARMACEUTICALS, INC.
$94
Merck Sharp & Dohme LLC
$69
Lilly USA, LLC
$64
Shionogi Inc
$61
Ardelyx, Inc.
$61
Prometheus Laboratories Inc.
$55
QOL Medical, LLC
$54
AIMMUNE THERAPEUTICS, INC.
$44
NESTLE HEALTHCARE NUTRITION INC.
$39
AstraZeneca Pharmaceuticals LP
$37
UCB, Inc.
$37
Ipsen Biopharmaceuticals, Inc
$28
Novo Nordisk Inc
$25
Allergan Inc.
$24
IRONWOOD PHARMACEUTICALS, INC
$23
Shire North American Group Inc
$23
Otsuka America Pharmaceutical, Inc.
$23
Napo Pharmaceuticals Inc
$21
EVOKE PHARMA, INC.
$21
PFIZER INC.
$20
Ambu Inc.
$9
Romark Laboratories, LC
$6
Top 3 companies account for 81.2% of all-time payments
Associated products mentioned in payments ›
Aemcolo · Alinia Tablets 500mg 30 count bottle · Amitiza · BREATHTEK · CLENPIQ · CREON · Creon · DIFICID · DONNATAL · Dexilant · Donnatal · ENTYVIO · Entyvio · GATTEX · GENERAL HEMOSTASIS · GIMOTI · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · IQIRVO · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · MOVANTIK · MOVIPREP · Mavyret · Motegrity · Movantik · Mulpleta · Mytesi · OCALIVA · OMVOH · PLENVU · RELISTOR · REMICADE · RENFLEXIS · RESMETIROM · RESOLUTION CLIP · STELARA · SUFLAVE · SUPREP · SUPREP BOWEL PREP · SUTAB · Sucraid · Symproic · TREMFYA · TRULANCE · Talicia · Trulance · VEGZELMA · VIBERZI · VOQUEZNA · VOWST · Vemlidy · XIFAXAN · YUFLYMA · ZENPEP · ZYMFENTRA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (74%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for gastroenterology in CA.

Looking for a gastroenterology specialist in Daly City?
Compare gastroenterologists in the Daly City area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologists within 10 mi
201
Per 100K population
27.0
County median income
$156,000
Nearest hospital
AHMC SETON MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Tsuchiyose is a clinical cardiology specialist, with above-average Medicare volume (top 29% in CA), with speaking/promotional industry engagement in the top 7% of CA peers, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Tsuchiyose experienced with chronic care management, additional 20 min/month?
Based on Medicare claims data, Dr. Tsuchiyose performed 295 chronic care management, additional 20 min/month services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Tsuchiyose receive payments from pharmaceutical companies?
Yes. Dr. Tsuchiyose received a total of $49,826 from 43 companies across 687 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Tsuchiyose's costs compare to other gastroenterologists in Daly City?
Dr. Tsuchiyose's average Medicare payment per service is $88. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Tsuchiyose) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →