KEELY EGAN KOPP PA-C
NPI 1356506190
Physician Assistant in Wailuku, HI

Q: What is Keely Kopp's NPI number?

The NPI number for Keely Kopp is 1356506190. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Q: What is Keely Kopp's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Keely Kopp was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 22, 2008PECOS EnrolledAccepts Medicare Assignment

2180 MAIN ST, WAILUKU, HI 96793(808) 242-6464(808) 242-4292 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Keely Egan Kopp Pa-c NPPES

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

KEELY EGAN KOPP PA-C (NPI 1356506190) is an individual physician assistant in Wailuku, Hawaii, licensed in Hawaii (AMD-522) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1356506190

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKEELY EGAN KOPPCredential: PA-C

Location Address2180 MAIN STWailuku, HI 96793-1625

Mailing Address2180 Main StWailuku, HI 96793-1625 · (808) 242-6464 · Fax (808) 242-4292

Phone(808) 242-6464

Fax(808) 242-4292

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 22, 2008

Last NPPES UpdateOctober 22, 2013

✔ NPI 1356506190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in HI · AMD-522✔ Licensed in ME · PA001129

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2180 MAIN ST, Wailuku, HI 96793

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Other Identifiers 4

Medicare PINP00838957ME

Medicare PIN0007087ME

Medicaid30336793NH

Medicaid433005199ME

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

Keely Egan Kopp Pa-c 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 ID143397349

PECOS Enrollment IDI20131111000368

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 3

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.

97 services59 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.

46 services40 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 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.

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.

MR. ARTHUR RUBEN SAKAKIHARA - CHAVARRIA PA-C

Physician Assistant (Medical)