Makoto Saigusa, D.M.D, M.D.

NPI 1417067497ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Tyler, TX

Dentist, Oral and Maxillofacial Surgery (D.M.D, M.D.) in Tyler, Texas, trained at University of Texas Medical School at San Antonio (class of 1995). 58 Medicare patients in 2024, $11,322 paid; all of their 377 Part D prescriptions were generic. Kls-Martin L.P. reported $200.14 in payments in 2025, mostly food and beverage.

Overview

NPI	1417067497
Status	Active
Entity type	Individual
Credential	D.M.D, M.D.
Sole proprietor	No
NPI issued	Aug 30, 2006
Last updated in NPPES	Feb 23, 2023
Certified by provider	Feb 23, 2023

Specialties and licenses

Taxonomy	Code	License	State
Dentist, Oral and Maxillofacial Surgery Primary	1223S0112X	19097	TX
Oral & Maxillofacial Surgery	204E00000X	K0551	TX
Oral & Maxillofacial Surgery	204E00000X	19097	TX

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - General Practice (TX)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	58
Services billed	95 across 17 procedure codes
Paid by Medicare	$11,322

Part D prescriptions in 2024

Prescriptions (claims)	377 · 377 30-day fills
Patients	193
Total drug cost	$1,659
Generic share	100% of claims

Medicare sources and data years

Education and affiliations

Medical school	University of Texas Medical School at San Antonio
Graduation year	1995
Medicare specialty	General Practice
Secondary specialties	Maxillofacial Surgery