Medicare Enrolled

Dr. Kenneth Shimizu, M.D.

Radiology - Diagnostic · San Diego, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
10670 JOHN J HOPKINS DR, San Diego, CA 92121
8585544100
In practice since 2005 (20 years)
NPI: 1326032129 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. Shimizu 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 →
Are you Dr. Shimizu? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Shimizu

Dr. Kenneth Shimizu is a radiology - diagnostic specialist in San Diego, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Shimizu performed 2,585 Medicare services across 1,112 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shimizu received a total of $583 from 15 pharmaceutical and/or device companies across 30 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiology - diagnostic. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Shimizu 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 30% volume in CA $583 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,585
Medicare services
Top 30% in CA for radiology - diagnostic
1,112
Unique beneficiaries
$110
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~129 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
Design and construction of complex radiation treatment device
This code covers the design and construction of a complex radiation treatment device. It does not specify the clinical purpose or conditions treated.
330 $64 $408
Radiation therapy, 3+ areas, 6-10 MeV
Radiation treatment delivered to three or more separate areas using advanced techniques like custom blocking and rotational beams with an energy level of 6-10 MeV.
312 $219 $714
Radiation treatment management, 5 sessions
Oversight and management of a radiation therapy course consisting of five treatment sessions.
285 $160 $1,023
Calculation of radiation therapy dose 278 $33 $212
Stereoscopic X-ray guidance for radiation therapy localization
This procedure uses stereoscopic X-ray imaging to precisely locate the target area for radiation therapy delivery.
225 $22 $71
CT guidance for radiation therapy
This procedure uses computed tomography imaging to guide the precise placement of radiation therapy fields. It ensures accurate positioning for targeted treatment delivery.
151 $40 $253
Radiation treatment planning, complex
This procedure involves obtaining the necessary data to develop an optimal radiation treatment plan for three or more treatment areas, or any number of areas requiring special treatment.
108 $161 $1,044
Radiation treatment planning, 1 area
This procedure involves gathering the necessary data to design the most effective radiation therapy plan for a single treatment area.
100 $81 $520
New patient office visit, complex (60-74 min) 90 $176 $598
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.
90 $72 $248
Complex radiation therapy planning 89 $138 $899
X-ray during radiation therapy
An X-ray image taken while radiation therapy is being administered to verify treatment positioning.
85 $13 $73
Continuing radiation therapy consultation per week
A weekly consultation to review and manage ongoing radiation therapy treatment.
74 $79 $480
3D radiation therapy planning
This procedure involves creating a three-dimensional treatment plan for radiation therapy. It uses imaging data to map the target area and surrounding tissues to guide precise radiation delivery.
59 $252 $1,613
Special radiation therapy planning
This procedure involves specialized planning for the delivery of external beam radiation therapy.
42 $54 $342
Design and construction of intermediate radiation treatment device
This code covers the design and construction of an intermediate radiation treatment device. It does not specify a particular clinical purpose or condition.
38 $69 $446
Special radiation treatment 35 $92 $591
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.
30 $105 $350
Respiratory data collection for radiation therapy planning
This procedure involves gathering respiratory data to help develop the optimal radiation treatment plan.
25 $158 $1,014
Design and construction of radiation treatment device
This code covers the design and construction of a device used for high precision radiation therapy. It does not include the actual administration of radiation treatment.
25 $190 $1,214
Fractionated radiation therapy for cranial lesion
Treatment using radiation delivered in multiple sessions to manage a lesion in the head.
24 $537 $3,428
High precision radiation therapy planning
This procedure involves the detailed planning and setup required for delivering high-precision radiation therapy to a target area of the body.
23 $347 $2,258
Design and construction of simple radiation treatment device
This code covers the design and construction of a simple radiation treatment device. It does not specify the clinical purpose or condition being treated.
19 $22 $143
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
15 $41 $156
Complex radiation therapy planning
This procedure involves the detailed planning required to deliver external beam radiation therapy to a patient.
11 $140 $890
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.
11 $141 $453
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.
11 $138 $491
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 ↗
$583
Total received (2018-2024)
Avg $146/year across 4 years
Top 48% in CA for radiology - diagnostic
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
30
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$583 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$24
2020
$32
2019
$251
2018
$276

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
PROGENICS PHARMACEUTICALS, INC.
$24
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$107
Janssen Biotech, Inc.
$91
Exelixis Inc.
$72
Puma Biotechnology, Inc.
$59
EISAI INC.
$36
Daiichi Sankyo Inc.
$32
Lilly USA, LLC
$31
PROGENICS PHARMACEUTICALS, INC.
$24
Celgene Corporation
$22
Seattle Genetics, Inc.
$20
Bayer HealthCare Pharmaceuticals Inc.
$19
E.R. Squibb & Sons, L.L.C.
$19
Novartis Pharmaceuticals Corporation
$18
Merck Sharp & Dohme Corporation
$18
Foundation Medicine, Inc.
$15
Top 3 companies account for 46.4% of all-time payments
Associated products mentioned in payments ›
Cabometyx · Erleada · FASLODEX · FOUNDATIONONE · Halaven · IMFINZI · JADENU · KEYTRUDA · LYNPARZA · Lenvima · Nerlynx · OPDIVO · PYLARIFY · Revlimid · Turalio · VERZENIO · Xofigo
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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a radiology - diagnostic specialist in San Diego?
Compare radiology - diagnostics in the San Diego area by procedure volume, costs, and industry payment transparency.
Browse radiology - diagnostics nearby

Geographic Context

Radiology - diagnostics within 10 mi
59
Per 100K population
1.8
County median income
$102,285
Nearest hospital
VA SAN DIEGO HEALTHCARE SYSTEM
2.4 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. Shimizu is a clinical cardiology specialist, with above-average Medicare volume (top 30% in CA), with low-engagement industry engagement, 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. Shimizu experienced with design and construction of complex radiation treatment device?
Based on Medicare claims data, Dr. Shimizu performed 330 design and construction of complex radiation treatment device 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. Shimizu receive payments from pharmaceutical companies?
Yes. Dr. Shimizu received a total of $583 from 15 companies across 30 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. Shimizu's costs compare to other radiology - diagnostics in San Diego?
Dr. Shimizu's average Medicare payment per service is $110. 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. Shimizu) 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 →