Ray S. Kusumoto, PA
NPI 1194850800ActiveIndividual· Physician Assistant, Medical· Hollister, CA
Physician Assistant, Medical (PA) with Bass Medical Group, practicing in Hollister, California. Their prescriptions cost Medicare Part D more than their services did: $524,173 for 4,200 claims, against $3,198 paid for services in 2024. Zoll Services LLC (A/K/A Zoll Lifecor Corp) reported $31.48 in payments in 2025, mostly food and beverage. Lists Hazel Hawkins Memorial Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1194850800 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 22, 2007 |
| Last updated in NPPES | Mar 4, 2025 |
| Certified by provider | Mar 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA13954 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 49 across 11 procedure codes |
| Paid by Medicare | $3,198 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,200 · 10,507 30-day fills |
|---|---|
| Patients | 300 |
| Total drug cost | $524,173 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Bass Medical GroupChico, CA · 291 clinicians
Hospital affiliations
- Hazel Hawkins Memorial HospitalHollister, CA
- Salinas Valley Health Medical CenterSalinas, CA
- Stanford Health CareStanford, CA
Other facilities
- Ascension Healthcare ServicesHome health agency · Campbell, CA
- Bonita Springs Home Health LLCHome health agency · Gilroy, CA
- Bridge Home HealthHome health agency · Salinas, CA
- Care MustHome health agency · San Jose, CA
- Central Coast Vna & Hospice, IncHome health agency · Monterey, CA
Industry payments (Open Payments)
- 2025$31.48 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $31.48 | 2 |
What the 2025 payments were for
- Food and Beverage$31.48 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Medical providers in Hollister
- 1508837675