Doctor profile · Federal record
Dr. Shane Tsubaki, PA-C
Physician Assistant · Blaine, MN
- NPI 1336309384
- Accepts Medicare
- MIPS 89.4 / 100 · 2023
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 109Th Ave Ne
Blaine, MN 554494670
(866) 389-2727 - Mailing address
-
15744 Fairoaks Ave N
Hugo, MN 550388552
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- December 10, 2025
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336309384. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
35
Distinct HCPCS
2
Medicare allowed
$2,978
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $94 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 17 | 16 | $76 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 59. This provider delivers 0.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
26
Patients
15
Total drug cost
$169
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 15 | 15 | $142 |
| Prednisone | Generic | 11 | 0 | $27 |
Frequently asked questions
What is Dr. Shane Tsubaki's medical specialty?
Dr. Shane Tsubaki practices Physician Assistant in Blaine, MN.
Where does Dr. Shane Tsubaki practice?
Dr. Shane Tsubaki practices at 1500 109Th Ave Ne, Blaine, MN 554494670. Office phone: 8663892727.
What is Dr. Shane Tsubaki's NPI?
Dr. Shane Tsubaki's National Provider Identifier (NPI) is 1336309384, issued by NPPES.
Does Dr. Shane Tsubaki accept Medicare assignment?
Yes. Dr. Shane Tsubaki accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Tsubaki commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.