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DOUGLAS J. ROSE M.D.
NPI 1003892027
Family Medicine in Hilo, HI

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2025, Feb 8, 2016 (2 updates tracked since 2016).

About Douglas J. Rose M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS J. ROSE M.D. (NPI 1003892027) is an individual family medicine provider in Hilo, Hawaii, licensed in Hawaii (18758) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1995).

NPPES Registry Identity

NPI1003892027
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS J. ROSECredential: M.D.
Location Address45 MOHOULI STHilo, HI 96720-7210
Mailing Address1091 Apono PlHilo, HI 96720-2701 · (423) 341-5473 · Fax (888) 960-2830
Phone(808) 932-3740
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1995
Enumeration DateDecember 21, 2005
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1003892027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in HI · 18758
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
45 MOHOULI ST, Hilo, HI 96720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas J. Rose M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507888112
PECOS Enrollment IDI20160909002491
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services39 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
35 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers21 claims50 services$6.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier28 claims28 services$119.48 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$34.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER DALE THORPE RN
Registered Nurse (Psychiatric/Mental Health)
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 825-0844
NIKKI MINAMI RN
Registered Nurse (General Practice)
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 935-3781
MICHELLE WASSON ARNOLD RN
Registered Nurse
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 464-8778
KUIKAWANAPUA AKIONA RN
Registered Nurse
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 934-3038
MR. JAMES KENNETH DRESCHER RN
Registered Nurse (Ambulatory Care)
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 934-3009
MR. MICHAEL LANGMEAD FNP-BC
Nurse Practitioner (Family)
45 MOHOULI ST
HILO, HI 96720
Hawaii County (520) 235-2156
DR. ROBERT W. GOODWIN M.D.
General Practice
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 430-9555
HILO URGENT CARE, LLC
Nurse Practitioner (Family)
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 969-3051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Rose's NPI number?

The NPI number for Douglas Rose is 1003892027. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Douglas Rose located?

Douglas Rose practices at 45 Mohouli St, Hilo, HI 96720. The listed phone number is (808) 932-3740.

What is Douglas Rose's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Rose enrolled in Medicare?

Yes. Douglas Rose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Rose accept?

Health plans from HMSA list Douglas Rose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Douglas Rose affiliated with any hospitals?

According to CMS data, Douglas Rose is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Rose was last updated on May 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.