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DR. ROSS D. SIMAFRANCA M.D.
NPI 1316149123
Surgery in Ewa Beach, HI

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment
91-2139 FORT WEAVER ROAD #310, ST. FRANCIS MEDICAL PLAZA - WEST, EWA BEACH, HI 96706(808) 676-9270(808) 676-9273 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ross D. Simafranca M.d. NPPES

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

DR. ROSS D. SIMAFRANCA M.D. (NPI 1316149123) is an individual surgery provider in Ewa Beach, Hawaii, licensed in Hawaii (MD-14318) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2002).

NPPES Registry Identity

NPI1316149123
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROSS D. SIMAFRANCACredential: M.D.
Location Address91-2139 FORT WEAVER ROAD #310, ST. FRANCIS MEDICAL PLAZA - WESTEwa Beach, HI 96706
Mailing Address91-2139 Fort Weaver Rd #310, St. Francis Medical Plaza - WestEwa Beach, HI 96706 · (808) 676-9270 · Fax (808) 676-9273
Phone(808) 676-9270
Fax(808) 676-9273
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2002
Enumeration DateJune 4, 2007
Last NPPES UpdateAugust 27, 2007
✔ NPI 1316149123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in HI · MD-14318
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.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

Dr. Ross D. Simafranca 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 ID6800981671
PECOS Enrollment IDI20071009000509
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 5

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.
53 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services13 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.
34 services34 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.
19 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 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 96706 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.

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.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims320 services$4.75 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 Ross Simafranca's NPI number?

The NPI number for Ross Simafranca is 1316149123. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Ross Simafranca located?

Ross Simafranca practices at 91-2139 Fort Weaver Road #310 St. Francis Medical Plaza - West, Ewa Beach, HI 96706. The listed phone number is (808) 676-9270.

What is Ross Simafranca's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ross Simafranca enrolled in Medicare?

Yes. Ross Simafranca 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 Ross Simafranca accept?

Health plans from HMSA and Kaiser Permanente list Ross Simafranca 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 Ross Simafranca affiliated with any hospitals?

According to CMS data, Ross Simafranca is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Ross Simafranca was last updated on August 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.