DR. PEDRO ACFALLE MANIBUSAN JR. D.O.
NPI 1073799722
Internal Medicine - Gastroenterology in Tripler Army Medical Center, HI

Q: What is Pedro Manibusan's NPI number?

The NPI number for Pedro Manibusan is 1073799722. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Q: What is Pedro Manibusan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Pedro Manibusan was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2008PECOS Enrolled

1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-5055 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2021, Jul 6, 2020 (2 updates tracked since 2020).

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About Dr. Pedro Acfalle Manibusan Jr. D.o. NPPES

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

DR. PEDRO ACFALLE MANIBUSAN JR. D.O. (NPI 1073799722) is an individual gastroenterology provider in Tripler Army Medical Center, Hawaii, licensed in Hawaii (DOS1269) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2007).

NPPES Registry Identity

NPI1073799722

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. PEDRO ACFALLE MANIBUSAN JR.Credential: D.O.

Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001

Mailing Address1 Jarrett White RdTripler Army Medical Center, HI 96859-5001 · (808) 433-5055

Phone(808) 433-5055

Sole ProprietorNo

Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2007

Enumeration DateJanuary 11, 2008

Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2021

✔ NPI 1073799722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in HI · DOS1269

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License DO198300 (OR)

1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pedro Acfalle Manibusan Jr. D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719241256

PECOS Enrollment IDI20220429000710

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.

Medicare Billing Reassignments

Medicare enrollment records show Pedro Manibusan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Manibusan Services Corporation

3.3 mi

Gastroenterology

321 N KUAKINI ST STE 714
Honolulu, HI 96817

Reassigned Medicare billing, Hawaii enrollment

NPI 1770213233 (808) 528-3606

Maui Health System A Kaiser Foundation Hospitals LLC

73 mi

Critical Access

628 SEVENTH STREET
Lana'i City, HI 96763

Reassigned Medicare billing, Hawaii enrollment
138 clinicians in this Medicare group

NPI 1336501634 (808) 545-6411

Hilo Benioff Medical Center

212 mi

General Acute Care Hospital

1190 WAIANUENUE AVE
Hilo, HI 96720

Reassigned Medicare billing, Hawaii enrollment
263 clinicians in this Medicare group

NPI 1780757856 (808) 932-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number120002

Location221 Mahalani StreetWailuku, HI 96793 · Maui County

Birthing friendly

Kuakini Medical Center

Acute Care Hospitals · Honolulu, HI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120007

Location347 North Kuakini StreetHonolulu, HI 96817 · Honolulu County

Emergency services

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120026

Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 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

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

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.

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.

CORINNE REYES LCSW

Social Worker (Clinical)

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-8785

DANIEL HEILMANN DO

Pediatrics

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-6697

MR. ADRIAN SCOTT WORTHEN M.D.

Internal Medicine

1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (808) 433-4049

DR. JANE ELIZABETH MARSHALL OTD, OTR/L

Occupational Therapist

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (937) 231-3795

TINA WILSON DO

General Practice

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (210) 220-7961

MRS. LASHON SHEREMA WILLIAMS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (808) 433-8601

DR. NICHOLAS PATRICK MAHER DO

General Practice

1 JARRETT WHITE RD
TRIPLER AMC, HI 96859

Honolulu County (888) 683-2778

DR. KIMBERLY D DAVIS MD

Ophthalmology

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

Honolulu County (808) 471-9998

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 Pedro Manibusan's NPI number?

The NPI number for Pedro Manibusan is 1073799722. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Where is Pedro Manibusan located?

Pedro Manibusan practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-5055.

What is Pedro Manibusan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Pedro Manibusan enrolled in Medicare?

Yes. Pedro Manibusan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pedro Manibusan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Manibusan reassigns Medicare benefits to 3 organizations: Manibusan Services Corporation (Honolulu, HI), Maui Health System A Kaiser Foundation Hospitals LLC (Lana'i City, HI) and Hilo Benioff Medical Center (Hilo, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Manibusan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Manibusan accept?

Health plans from HMSA and Kaiser Permanente list Pedro Manibusan 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 Pedro Manibusan affiliated with any hospitals?

According to CMS data, Pedro Manibusan is affiliated with Maui Memorial Medical Center, Kuakini Medical Center and Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Pedro Manibusan was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.