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TONI CARAVALHO PA
NPI 1174298012
Physician Assistant in Honokaa, HI

Active since August 12, 2021PECOS EnrolledAccepts Medicare Assignment
45-539 PLUMERIA ST, HONOKAA, HI 96727(808) 775-7204 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2021, Aug 12, 2021 (2 updates tracked since 2021).

About Toni Caravalho Pa NPPES

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

TONI CARAVALHO PA (NPI 1174298012) is an individual physician assistant in Honokaa, Hawaii, licensed in Hawaii (AMD-1088) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with North Hawaii Community Hospital, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174298012
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTONI CARAVALHOCredential: PA
Location Address45-539 PLUMERIA STHonokaa, HI 96727-6940
Mailing AddressPo Box 432Kapaau, HI 96755-0432
Phone(808) 775-7204
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 12, 2021
Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1174298012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in HI · AMD-1088
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
45-539 PLUMERIA ST, Honokaa, HI 96727
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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

Toni Caravalho Pa 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 ID143619098
PECOS Enrollment IDI20211115000982
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.

Hospital Affiliations CMS Care Compare 2

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

North Hawaii Community Hospital, Inc

Acute Care Hospitals · Kamuela, HI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120028
Location67 1125 Mamalahoa HighwayKamuela, HI 96743 · Hawaii County
Emergency services Birthing friendly

Kohala Hospital

Critical Access Hospitals · Kapaau, HI
OwnershipGovernment - State
CMS Certification Number121302
Location54-383 Hospital RoadKapaau, HI 96755 · Hawaii County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96727 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
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Toni Caravalho's NPI number?

The NPI number for Toni Caravalho is 1174298012. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Toni Caravalho located?

Toni Caravalho practices at 45-539 Plumeria St, Honokaa, HI 96727. The listed phone number is (808) 775-7204.

What is Toni Caravalho's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Toni Caravalho enrolled in Medicare?

Yes. Toni Caravalho 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 Toni Caravalho accept?

Health plans from HMSA list Toni Caravalho 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 Toni Caravalho affiliated with any hospitals?

According to CMS data, Toni Caravalho is affiliated with North Hawaii Community Hospital, Inc and Kohala Hospital.

When was this NPI record last updated?

The NPPES record for Toni Caravalho was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.