DR. SOE WIN M.D
NPI 1205094315
Internal Medicine in Hilo, HI

Q: What is Soe Win's NPI number?

The NPI number for Soe Win is 1205094315. It was assigned to this individual provider in the NPPES registry on May 26, 2008.

Q: What is Soe Win's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Soe Win was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 26, 2008PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1190 WAIANUENUE AVE, HILO, HI 96720(510) 789-7909 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Soe Win M.d NPPES

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

DR. SOE WIN M.D (NPI 1205094315) is an individual internal medicine provider in Hilo, Hawaii, licensed in Hawaii (15240) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1205094315

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SOE WINCredential: M.D

Location Address1190 WAIANUENUE AVEHilo, HI 96720

Mailing Address54 Lalawai PlHilo, HI 96720 · (510) 789-7909

Phone(510) 789-7909

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateMay 26, 2008

Last NPPES UpdateDecember 7, 2016

✔ NPI 1205094315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in HI · 15240✔ Licensed in NY · 283932✔ Licensed in CA · A105849

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1190 WAIANUENUE AVE, Hilo, HI 96720

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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. Soe Win 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 ID3375699606

PECOS Enrollment IDI20090928000647

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.

476 services160 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

205 services95 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.

117 services113 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.

101 services97 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

32 services32 patients

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

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

Kau Hospital

Critical Access Hospitals · Pahala, HI

OwnershipGovernment - State

CMS Certification Number121301

Location1 Kamani StreetPahala, HI 96777 · Hawaii County

Emergency services

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

$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%247 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KYLE NUGENT

Student in an Organized Health Care Education/Training Program