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DR. SUSAN S HIRAOKA DPM LLC
NPI 1235164062
Podiatrist in Kailua, HI

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
642 ULUKAHIKI ST STE 207, KAILUA, HI 96734(808) 261-9931 Get Directions Write a Review

NPPES record last updated: March 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan S Hiraoka Dpm Llc NPPES

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

DR. SUSAN S HIRAOKA DPM LLC (NPI 1235164062) is an individual podiatrist in Kailua, Hawaii, licensed in Hawaii (PO-155) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of California School Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1235164062
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. SUSAN S HIRAOKACredential: DPM LLC
Location Address642 ULUKAHIKI ST STE 207Kailua, HI 96734-4439
Mailing Address642 Ulukahiki St Ste 207Kailua, HI 96734-4439 · (808) 261-9931
Phone(808) 261-9931
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1999
Enumeration DateJuly 11, 2006
Last NPPES UpdateMarch 10, 2009
✔ NPI 1235164062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in HI · PO-155
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
642 ULUKAHIKI ST STE 207, Kailua, HI 96734
Open in Google Maps ↗

Other Identifiers 5

Other0230664HI · Hmsa
Medicare NSC4615930002HI
Medicare ID-Type Unspecified54404
Medicaid501074 01HI
Medicare UPINU89612

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. Susan S Hiraoka Dpm Llc 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 ID4688669245
PECOS Enrollment IDI20040415000036
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 6

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.
670 services229 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
72 services18 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.
63 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 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.
21 services16 patients
Permanent removal fingernail or toenail 11750
Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96734 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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
39%327 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%584 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
3%1,111 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
4%580 patients1/55-star benchmark: 88%
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

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

JULIET G. BENIGA APRN
Nurse Practitioner (Family)
642 ULUKAHIKI ST STE 207
KAILUA, HI 96734
Honolulu County (808) 263-5009

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 Susan Hiraoka's NPI number?

The NPI number for Susan Hiraoka is 1235164062. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Susan Hiraoka located?

Susan Hiraoka practices at 642 Ulukahiki St Ste 207, Kailua, HI 96734. The listed phone number is (808) 261-9931.

What is Susan Hiraoka's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Susan Hiraoka enrolled in Medicare?

Yes. Susan Hiraoka 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.

Is Susan Hiraoka affiliated with any hospitals?

According to CMS data, Susan Hiraoka is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Hiraoka was last updated on March 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.