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R. CRAIG NETZER M.D.
NPI 1205831864
Internal Medicine in Lihue, HI

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
35.29/100
CMS Quality Rating
4473 PAHEE ST, STE O, LIHUE, HI 96766(808) 246-2709(808) 246-2700 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About R. Craig Netzer M.d. NPPES

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

R. CRAIG NETZER M.D. (NPI 1205831864) is an individual internal medicine provider in Lihue, Hawaii, licensed in Hawaii (MD-11719) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1998).

NPPES Registry Identity

NPI1205831864
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameR. CRAIG NETZERCredential: M.D.
Location Address4473 PAHEE ST, STE OLihue, HI 96766-2037
Mailing Address4473 Pahee St Ste LLihue, HI 96766-2037 · (808) 632-0200 · Fax (808) 632-0201
Phone(808) 246-2709
Fax(808) 246-2700
Sole ProprietorYes
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1998
Enumeration DateJune 20, 2005
Last NPPES UpdateJanuary 5, 2011
✔ NPI 1205831864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · MD-11719
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.
4473 PAHEE ST, Lihue, HI 96766
Open in Google Maps ↗

Other Identifiers 3

Medicaid50101602HI
Medicare UPINH65103HI
Medicare ID-Type Unspecified57578HI

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

R. Craig Netzer 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 ID1456316355
PECOS Enrollment IDI20041122000451
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 8

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 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.
467 services212 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.
175 services175 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
133 services82 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
82 services82 patients
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.
51 services43 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96766 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.

35.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality33.33
Improvement Activities0
Cost73.21

Other Providers at the Same Location NPPES 8

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

DONNA FARLEY CNM
Midwife
4473 PAHEE ST, SUITE# R
LIHUE, HI 96766
Kauai County (808) 245-7100
MICHAEL S BRAUN, MD LLC
Internal Medicine
4473 PAHEE ST
LIHUE, HI 96766
Kauai County (808) 246-2002
R. CRAIG NETZER MD INC
Internal Medicine
4473 PAHEE ST, STE O
LIHUE, HI 96766
Kauai County (808) 246-2002
MICHAEL STEVEN BRAUN M.D.
Internal Medicine
4473 PAHEE ST, SUITE#O
LIHUE, HI 96766
Kauai County (808) 246-2002
HAWAII DENTAL GROUP, INC.
Dentist (General Practice)
4473 PAHEE ST, SUITE K
LIHUE, HI 96766
Kauai County (808) 245-6363
PACIFIC BREEZE GYN, LLC
Midwife
4473 PAHEE ST, SUITE R
LIHUE, HI 96766
Kauai County (808) 245-7100
DR. MATT HOSHINO DMD
Dentist
4473 PAHEE ST, SUITE K
LIHUE, HI 96766
Kauai County (808) 245-6363
ST. FRANCIS COMMUNITY HEALTH SERVICES
Home Health
4473 PAHEE ST, SUITE N
LIHUE, HI 96766
Kauai County (808) 245-6430

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 R. Craig Netzer's NPI number?

The NPI number for R. Craig Netzer is 1205831864. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is R. Craig Netzer located?

R. Craig Netzer practices at 4473 Pahee St Ste O, Lihue, HI 96766. The listed phone number is (808) 246-2709.

What is R. Craig Netzer's specialty?

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

Is R. Craig Netzer enrolled in Medicare?

Yes. R. Craig Netzer 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 R. Craig Netzer accept?

Health plans from HMSA list R. Craig Netzer 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 R. Craig Netzer affiliated with any hospitals?

According to CMS data, R. Craig Netzer is affiliated with Wilcox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for R. Craig Netzer was last updated on January 5, 2011. 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.