DR. MARY CLAIRE TANNER MD
NPI 1205404449
Obstetrics & Gynecology in Honolulu, HI

Q: What is Mary Tanner's NPI number?

The NPI number for Mary Tanner is 1205404449. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Q: What is Mary Tanner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Tanner was last updated on June 15, 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 June 15, 2021PECOS EnrolledAccepts Medicare Assignment

1319 PUNAHOU ST STE 824, HONOLULU, HI 96826(808) 203-6518(808) 955-2174 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Mary Claire Tanner Md NPPES

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

DR. MARY CLAIRE TANNER MD (NPI 1205404449) is an individual obstetrics & gynecology provider in Honolulu, Hawaii, licensed in Hawaii (MDR-8084) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205404449

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MARY CLAIRE TANNERCredential: MD

Location Address1319 PUNAHOU ST STE 824Honolulu, HI 96826-1080

Mailing Address1319 Punahou St Ste 824Honolulu, HI 96826-1080 · (808) 203-6518 · Fax (808) 955-2174

Phone(808) 203-6518

Fax(808) 955-2174

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 15, 2021

NPPES CertifiedJune 15, 2021

✔ NPI 1205404449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in HI · MDR-8084

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1319 PUNAHOU ST STE 824, Honolulu, HI 96826

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Dr. Mary Claire Tanner Md 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 ID7810484995

PECOS Enrollment IDI20251013003729

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 Reassignment

Medicare enrollment records show Mary Tanner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hawaii Permanente Medical Group Inc

6.1 mi

Health Maintenance Organization

3288 MOANALUA RD
Honolulu, HI 96819

Reassigned Medicare billing, Hawaii enrollment
1,187 clinicians in this Medicare group

NPI 1710945969 (808) 432-0000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96826 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

$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.

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.

DANIELLE MARIE MATHISEN MD

Obstetrics & Gynecology