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KAREN C. YAMAGUCHI DPM
NPI 1215973029
Podiatrist - Foot Surgery in Honolulu, HI

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
11.78/100
CMS Quality Rating
615 PIIKOI ST, SUITE 1401, HONOLULU, HI 96814(808) 591-0020(808) 591-0080 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen C. Yamaguchi Dpm NPPES

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

KAREN C. YAMAGUCHI DPM (NPI 1215973029) is an individual foot surgery provider in Honolulu, Hawaii, licensed in Hawaii (123) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1990).

NPPES Registry Identity

NPI1215973029
Entity TypeIndividualFemale
Primary Taxonomy213ES0131X
Provider Legal NameKAREN C. YAMAGUCHICredential: DPM
Location Address615 PIIKOI ST, SUITE 1401Honolulu, HI 96814-3116
Mailing Address615 Piikoi St, Suite 1401Honolulu, HI 96814-3116 · (808) 591-0020 · Fax (808) 591-0080
Phone(808) 591-0020
Fax(808) 591-0080
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1990
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 17, 2015
✔ NPI 1215973029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
Licenses✔ Licensed in HI · 123✔ Licensed in TX · 1528
615 PIIKOI ST, Honolulu, HI 96814
Open in Google Maps ↗

Other Identifiers 7

Other0082FATX · Bc Bs Provider Number
Medicaid140993002TX
Medicare ID-Type Unspecified00546PTX
Medicare NSC5863340001TX
Medicare PIN8K8578TX
Medicare PIN00546PTX
Medicare UPINU83446TX

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

Karen C. Yamaguchi Dpm 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 ID1951473701
PECOS Enrollment IDI20130108000018
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 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.
886 services282 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
866 services239 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.
103 services77 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
77 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
38 services27 patients

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.

11.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities0

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.

HEATHER BEECHER
Counselor
615 PIIKOI ST, SUITE 203
HONOLULU, HI 96814
Honolulu County (808) 589-1829
KEVIN M. MIZOGUCHI, DDS, LLC
Dentist (General Practice)
615 PIIKOI ST, SUITE 507
HONOLULU, HI 96814
Honolulu County (808) 596-8020
BAYLENE KAHOANO
Counselor
615 PIIKOI ST, SUITE 203
HONOLULU, HI 96814
Honolulu County (808) 589-1829
YVONNE TAVARES
Specialist
615 PIIKOI ST, SUITE 203
HONOLULU, HI 96814
Honolulu County (808) 589-1829
CATHERINE MONFORE LMT
Massage Therapist
615 PIIKOI ST, STE 1210
HONOLULU, HI 96814
Honolulu County (808) 596-7300
RINDA BROOKS
Counselor
615 PIIKOI ST, SUITE 203
HONOLULU, HI 96814
Honolulu County (808) 589-1829
MR. CHARLES JAMES NEUMANN
Counselor (Mental Health)
615 PIIKOI ST, STE #105
HONOLULU, HI 96814
Honolulu County (808) 596-8433
JULIE ENOMOTO, DPT, LLC
Physical Therapist
615 PIIKOI ST, SUITE 1114
HONOLULU, HI 96814
Honolulu County (808) 593-9733

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 Karen Yamaguchi's NPI number?

The NPI number for Karen Yamaguchi is 1215973029. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Karen Yamaguchi located?

Karen Yamaguchi practices at 615 Piikoi St Suite 1401, Honolulu, HI 96814. The listed phone number is (808) 591-0020.

What is Karen Yamaguchi's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Karen Yamaguchi enrolled in Medicare?

Yes. Karen Yamaguchi 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 Karen Yamaguchi accept?

Health plans from HMSA list Karen Yamaguchi 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.

When was this NPI record last updated?

The NPPES record for Karen Yamaguchi was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.