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DR. ROY KOGA M.D.
NPI 1164511309
Family Medicine in Hilo, HI

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
670 PONAHAWAI ST STE 120, HILO, HI 96720(808) 961-2673(808) 961-3051 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roy Koga M.d. NPPES

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

DR. ROY KOGA M.D. (NPI 1164511309) is an individual family medicine provider in Hilo, Hawaii, licensed in Hawaii (MD2816) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of University Of Washington School Of Medicine (1973).

NPPES Registry Identity

NPI1164511309
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROY KOGACredential: M.D.
Location Address670 PONAHAWAI ST STE 120Hilo, HI 96720-2660
Mailing Address670 Ponahawai St Ste 120Hilo, HI 96720-2660 · (808) 961-2673 · Fax (808) 961-3051
Phone(808) 961-2673
Fax(808) 961-3051
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1973
Enumeration DateOctober 12, 2006
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1164511309 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 · MD2816
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.
670 PONAHAWAI ST STE 120, Hilo, HI 96720
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Other Identifiers 4

Other04074-1HI · Hmsa Bcbs
Medicaid037014-02HI
Medicare UPINC98501HI
Medicare ID-Type Unspecified0000BDHSQHI

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

Dr. Roy Koga 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 ID2860518917
PECOS Enrollment IDI20110201000786
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
326 services132 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
17 services16 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 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 supplier23 claims23 services$108.93 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

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

ROY M KOGA M D INC
General Practice
670 PONAHAWAI ST STE 120
HILO, HI 96720
Hawaii County (808) 961-2673

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 Roy Koga's NPI number?

The NPI number for Roy Koga is 1164511309. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Roy Koga located?

Roy Koga practices at 670 Ponahawai St Ste 120, Hilo, HI 96720. The listed phone number is (808) 961-2673.

What is Roy Koga's specialty?

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

Is Roy Koga enrolled in Medicare?

Yes. Roy Koga 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 Roy Koga accept?

Health plans from HMSA list Roy Koga 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 Roy Koga affiliated with any hospitals?

According to CMS data, Roy Koga is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Roy Koga was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.