1. Home
  2. Directory
  3. Hawaii
  4. Kailua Kona
  5. Family Medicine
  6. NPI Profile

DR. LY M. GAU DO
NPI 1386696318
Family Medicine - Geriatric Medicine in Kailua-kona, HI

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
78-6831 ALI'I DRIVE, SUITE 328, KAILUA-KONA, HI 96740(808) 747-8321(808) 334-0930 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ly M. Gau Do NPPES

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

DR. LY M. GAU DO (NPI 1386696318) is an individual geriatric medicine provider in Kailua-kona, Hawaii, licensed in Hawaii (DOS-1405) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Kona Community Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1386696318
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameDR. LY M. GAUCredential: DO
Location Address78-6831 ALI'I DRIVE, SUITE 328Kailua-kona, HI 96740
Mailing Address78-6831 Ali'i Drive, Suite 328Kailua-kona, HI 96740 · (808) 747-8321 · Fax (808) 331-8682
Phone(808) 747-8321
Fax(808) 334-0930
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1998
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 12, 2012
✔ NPI 1386696318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Licenses✔ Licensed in HI · DOS-1405✔ Licensed in MI · 5101013844
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
78-6831 ALI'I DRIVE, Kailua-kona, HI 96740
Open in Google Maps ↗

Other Identifiers 4

Medicare PINN535510029
Medicaid114766241MI
Medicare UPINH52657MI
Medicare UPINH52657

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

Dr. Ly M. Gau Do 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 ID2668463373
PECOS Enrollment IDI20120622000135
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 9

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.
251 services156 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.
204 services125 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
158 services91 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services46 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
36 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Kona Community Hospital

Acute Care Hospitals · Kealakekua, HI
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120019
Location79-1019 Haukapila StreetKealakekua, HI 96750 · Hawaii County
Emergency services Birthing friendly

North Hawaii Community Hospital, Inc

Acute Care Hospitals · Kamuela, HI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120028
Location67 1125 Mamalahoa HighwayKamuela, HI 96743 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96740 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
$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

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…
100%229 patients5/55-star benchmark: 100%
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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims22 services$176.48 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 6

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

EDWIN P. HERD MD
Pediatrics
78-6831 ALI'I DRIVE, SUITE 328
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
MRS. MARIA CECILA OKA APRN
Nurse Practitioner (Family)
78-6831 ALI'I DRIVE, SUITE 422
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
BARRY BLUM MD
Orthopaedic Surgery
78-6831 ALI'I DRIVE, SUITE 328
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
KENNETH W SMITH DO
Orthopaedic Surgery
78-6831 ALI'I DRIVE, SUITE 422
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
DR. ANDREW A. FEDDER MD
Surgery
78-6831 ALI'I DRIVE, SUITE 422
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
DR. UNPOK JOHN CHOE MD
Internal Medicine (Geriatric Medicine)
78-6831 ALI'I DRIVE, SUITE 328
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321

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 Ly Gau's NPI number?

The NPI number for Ly Gau is 1386696318. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Ly Gau located?

Ly Gau practices at 78-6831 Ali'i Drive Suite 328, Kailua-Kona, HI 96740. The listed phone number is (808) 747-8321.

What is Ly Gau's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Ly Gau enrolled in Medicare?

Yes. Ly Gau 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 Ly Gau accept?

Health plans from HMSA list Ly Gau 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 Ly Gau affiliated with any hospitals?

According to CMS data, Ly Gau is affiliated with Kona Community Hospital and North Hawaii Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Ly Gau was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.