JOSE C DELEON M.D.
NPI 1275639866
Internal Medicine in Honolulu, HI

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
1520 LILIHA ST, 203, HONOLULU, HI 96817(808) 528-3571(808) 528-0196 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jose C Deleon M.d. NPPES

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

JOSE C DELEON M.D. (NPI 1275639866) is an individual internal medicine provider in Honolulu, Hawaii, licensed in Hawaii (MD-3031) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1275639866
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSE C DELEONCredential: M.D.
Location Address1520 LILIHA ST, 203Honolulu, HI 96817-3562
Mailing Address1520 Liliha St, 203Honolulu, HI 96817-3562 · (808) 528-3571 · Fax (808) 528-0196
Fax(808) 528-0196
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275639866 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-3031
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.

1520 LILIHA ST, Honolulu, HI 96817

Other Identifiers 1

Medicare UPIND43560HI

Accepted 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

Jose C Deleon 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 ID3870519036
PECOS Enrollment IDI20051018000569
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 2

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.
356 services109 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.
70 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120026
Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96817 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.

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…
27%105 patients1/55-star benchmark: 100%
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…
63%126 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
39%38 patients2/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims188 services$17.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
1520 LILIHA ST, 201
HONOLULU, HI 96817
Nurse Practitioner
1520 LILIHA ST, #601
HONOLULU, HI 96817
Internal Medicine (Nephrology)
1520 LILIHA ST, #601
HONOLULU, HI 96817
Internal Medicine (Nephrology)
1520 LILIHA ST, #601
HONOLULU, HI 96817
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1520 LILIHA ST, 1ST FLOOR
HONOLULU, HI 96817
Internal Medicine
1520 LILIHA ST, 205
HONOLULU, HI 96817
Massage Therapist
1520 LILIHA ST, SUITE 406A
HONOLULU, HI 96817
Dentist (General Practice)
1520 LILIHA ST, SUITE 503
HONOLULU, HI 96817

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 Jose Deleon's NPI number?

The NPI number for Jose Deleon is 1275639866. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Jose Deleon located?

Jose Deleon practices at 1520 Liliha St 203, Honolulu, HI 96817. The listed phone number is (808) 528-3571.

What is Jose Deleon's specialty?

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

Is Jose Deleon enrolled in Medicare?

Yes. Jose Deleon 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 Jose Deleon accept?

Health plans from HMSA list Jose Deleon 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 Jose Deleon affiliated with any hospitals?

According to CMS data, Jose Deleon is affiliated with The Queens Medical Center and Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Deleon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.