DR. MELANIE MOANIKEALA PAYANAL M.D.
NPI 1164782371
Family Medicine in Mililani, HI

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment
95-390 KUAHELANI AVE, MILILANI, HI 96789(808) 627-3230 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Melanie Moanikeala Payanal M.d. NPPES

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

DR. MELANIE MOANIKEALA PAYANAL M.D. (NPI 1164782371) is an individual family medicine provider in Mililani, Hawaii, licensed in Hawaii (MDR-6285) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2012).

NPPES Registry Identity

NPI1164782371
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MELANIE MOANIKEALA PAYANALCredential: M.D.
Location Address95-390 KUAHELANI AVEMililani, HI 96789-1192
Mailing Address962 Kealaolu AveHonolulu, HI 96816-5417 · (808) 291-8897
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2012
Enumeration DateMay 22, 2012
✔ NPI 1164782371 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 · MDR-6285
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.
95-390 KUAHELANI AVE, Mililani, HI 96789

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Melanie Moanikeala Payanal 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 ID4183934383
PECOS Enrollment IDI20151110000533
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

2

Medicare enrollment records show Melanie Payanal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
99-128 AIEA HEIGHTS DR, SUITE 505
Aiea, HI 96701
  • Reassigned Medicare billing, Hawaii enrollment
Hospice and Palliative Medicine
590 KAPIOLANI ST
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 7 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.
38 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients

Hospital Affiliations CMS Care Compare 4

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · 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
OwnershipVoluntary non-profit - Private
CMS Certification Number123300
Location1319 Punahou StreetHonolulu, HI 96826 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96789 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.

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.

Dentist
95-390 KUAHELANI AVE, STE 4B
MILILANI, HI 96789
Marriage & Family Therapist
95-390 KUAHELANI AVE, SUITE 3AC - UNIT #5019
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE, PHYSICIAN CENTER MILILANI
MILILANI, HI 96789
Occupational Therapist (Hand)
95-390 KUAHELANI AVE, 1C
MILILANI, HI 96789
Optometrist
95-390 KUAHELANI AVE
MILILANI, HI 96789
Optometrist
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789

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 Melanie Payanal's NPI number?

The NPI number for Melanie Payanal is 1164782371. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Melanie Payanal located?

Melanie Payanal practices at 95-390 Kuahelani Ave, Mililani, HI 96789. The listed phone number is (808) 627-3230.

What is Melanie Payanal's specialty?

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

Is Melanie Payanal enrolled in Medicare?

Yes. Melanie Payanal 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.

Which organizations bill Medicare for Melanie Payanal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Payanal reassigns Medicare benefits to 2 organizations: Ke Ola Pono Ohana Family Medicine Clinic, LLC (Aiea, HI) and Hospice Of Hilo (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 Melanie Payanal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Payanal accept?

Health plans from HMSA list Melanie Payanal 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 Melanie Payanal affiliated with any hospitals?

According to CMS data, Melanie Payanal is affiliated with The Queens Medical Center, Straub Clinic And Hospital, Pali Momi Medical Center and Kapiolani Medical Center For Women & Children.

When was this NPI record last updated?

The NPPES record for Melanie Payanal was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.