Medicare Enrolled

Dr. Fred Kusumoto, MD

Clinical Cardiac Electrophysiology Physician · Jacksonville, FL
Practice pattern: Electrophysiology & Remote — Practice combining electrophysiology and remote services
Low-engagement
4500 SAN PABLO RD S, Jacksonville, FL 32224
9049532000
In practice since 2005 (20 years)
NPI: 1265429427 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. Kusumoto 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. Kusumoto

Dr. Fred Kusumoto is a clinical cardiac electrophysiology physician in Jacksonville, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Kusumoto performed 2,486 Medicare services across 2,135 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kusumoto received a total of $237 from 2 pharmaceutical and/or device companies across 3 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in clinical cardiac electrophysiology physician. 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. Kusumoto is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ 2,486 Medicare services $237 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 91015 Clear January 31, 2028
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
2,486
Medicare services
Bottom 35% in FL for clinical cardiac electrophysiology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
2,135
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~124 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
Remote pacemaker/defibrillator monitoring, 90 days
Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check.
527 $15 $171
Remote pacemaker monitoring, 90 days
Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart.
359 $21 $174
EKG interpretation and report
A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report.
261 $7 $109
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
247 $11 $127
Remote evaluation of implantable defibrillator system
Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation.
171 $25 $322
Pacemaker programming, dual lead system
Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings.
130 $58 $305
Remote cardiac rhythm monitor evaluation, up to 30 days
Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days.
105 $18 $149
Remote monitoring of implantable heart rhythm device
Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days.
105 $25 $139
Atrial fibrillation ablation with pulmonary vein isolation
A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction.
78 $793 $15,540
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
67 $50 $304
AI-assisted EKG risk assessment for heart dysfunction
An algorithmic analysis of an electrocardiogram performed at the same time to assess the risk of heart dysfunction.
58 $3 $99
2-day continuous ECG with professional review
A two-day continuous electrocardiogram recording that includes a review by a healthcare professional.
47 $14 $132
Pacemaker system programming
Adjustment and configuration of a pacemaker device to ensure proper operation. This service involves setting device parameters before or after surgical implantation.
46 $32 $123
Catheter ablation for abnormal heart rhythm
A procedure where catheters are inserted to destroy tissue causing irregular heartbeats.
44 $257 $3,085
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.
42 $41 $182
Programming of multiple lead implantable defibrillator system
Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function.
40 $82 $458
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
40 $41 $175
Programming of dual lead implantable defibrillator system
Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function.
28 $73 $392
Pacemaker programming, single lead
Adjustment and testing of a single-lead pacemaker to ensure it functions correctly.
20 $53 $259
Programming of single lead implantable defibrillator system
Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function.
18 $59 $332
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
16 $68 $603
Pacemaker system programming
Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings.
13 $62 $335
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
13 $76 $456
Radiofrequency ablation for supraventricular tachycardia
A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate.
11 $702 $12,289
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.
59.7% high complexity
0.0% medium
40.3% routine

Industry Payment Transparency

Open Payments through 2023 ↗
$237
Total received (2021-2023)
Avg $79/year across 3 years
Bottom 3% in FL for clinical cardiac electrophysiology physician
2
Companies
3
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
$237 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$107
2022
$58
2021
$72

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$165
BIOTRONIK INC.
$72
Top 3 companies account for 100.0% of total payments
Associated products mentioned in payments ›
Acticor · COBALT DR MRI SURESCAN · LINQ II
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.

Equivalent to $10 per 100 Medicare services performed
Looking for a clinical cardiac electrophysiology physician in Jacksonville?
Compare clinical cardiac electrophysiology physicians in the Jacksonville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Clinical cardiac electrophysiology physicians within 10 mi
19
Per 100K population
1.9
County median income
$68,447
Nearest hospital
MAYO CLINIC
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 2023
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 measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Kusumoto is an electrophysiology & remote specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Kusumoto experienced with remote pacemaker/defibrillator monitoring, 90 days?
Based on Medicare claims data, Dr. Kusumoto performed 527 remote pacemaker/defibrillator monitoring, 90 days 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. Kusumoto receive payments from pharmaceutical companies?
Yes. Dr. Kusumoto received a total of $237 from 2 companies across 3 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. Kusumoto's costs compare to other clinical cardiac electrophysiology physicians in Jacksonville?
Dr. Kusumoto's average Medicare payment per service is $55. 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. Kusumoto) 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. The Transparency Score measures 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.

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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 →