1. Home
  2. Directory
  3. Hawaii
  4. Kalaheo
  5. Internal Medicine
  6. NPI Profile

MARY LINDA PAUL M.D.
NPI 1285639971
Internal Medicine in Kalaheo, HI

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
61.05/100
CMS Quality Rating
4489 PAPALINA ROAD, KALAHEO, HI 96741(808) 332-8523(808) 332-7050 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Linda Paul M.d. NPPES

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

MARY LINDA PAUL M.D. (NPI 1285639971) is an individual internal medicine provider in Kalaheo, Hawaii, licensed in Hawaii (MD-11685) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1285639971
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY LINDA PAULCredential: M.D.
Location Address4489 PAPALINA ROADKalaheo, HI 96741
Mailing AddressPo Box 669, Atten: Rhonelle AceretWaimea, HI 96796-0669 · (808) 240-2723 · Fax (808) 338-9420
Phone(808) 332-8523
Fax(808) 332-7050
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 17, 2005
Last NPPES UpdateAugust 21, 2019
✔ NPI 1285639971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · MD-11685
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.
Also ListedMedical Genetics, Ph.D. Medical GeneticsTaxonomy 170100000X · License 990358977 (HI)
4489 PAPALINA ROAD, Kalaheo, HI 96741
Open in Google Maps ↗

Other Identifiers 1

Medicaid50008403HI

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

Mary Linda Paul 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 ID5698666832
PECOS Enrollment IDI20050713000118
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.

Hospital Affiliations CMS Care Compare 3

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

Kauai Veterans Memorial Hospital

Critical Access Hospitals · Waimea, HI
OwnershipGovernment - State
CMS Certification Number121300
Location4643 Waimea Canyon DriveWaimea, HI 96796 · Kauai County
Emergency services Birthing friendly

Samuel Mahelona Memorial Hospital

Critical Access Hospitals · Kapaa, HI
OwnershipGovernment - State
CMS Certification Number121306
Location4800 Kawaihau RoadKapaa, HI 96746 · Kauai County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96741 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.

61.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality29.19
Promoting Interoperability100
Improvement Activities40

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$19.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mary Paul's NPI number?

The NPI number for Mary Paul is 1285639971. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Mary Paul located?

Mary Paul practices at 4489 Papalina Road, Kalaheo, HI 96741. The listed phone number is (808) 332-8523.

What is Mary Paul's specialty?

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

Is Mary Paul enrolled in Medicare?

Yes. Mary Paul 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 Mary Paul accept?

Health plans from HMSA list Mary Paul 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 Mary Paul affiliated with any hospitals?

According to CMS data, Mary Paul is affiliated with Wilcox Memorial Hospital, Kauai Veterans Memorial Hospital and Samuel Mahelona Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Paul was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.