DR. TRACI T MASAKI TESORO M.D.
NPI 1487782736
Family Medicine in Honolulu, HI

Q: What is Traci Masaki Tesoro's NPI number?

The NPI number for Traci Masaki Tesoro is 1487782736. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Traci Masaki Tesoro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment

1401 S BERETANIA ST STE 500, HONOLULU, HI 96814(808) 988-8700(808) 888-3871 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Traci T Masaki Tesoro M.d. NPPES

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

DR. TRACI T MASAKI TESORO M.D. (NPI 1487782736) is an individual family medicine provider in Honolulu, Hawaii, licensed in Hawaii (MD-13989) and active in the NPI registry since March 2007. She 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 (2004).

NPPES Registry Identity

NPI1487782736

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TRACI T MASAKI TESOROCredential: M.D.

Location Address1401 S BERETANIA ST STE 500Honolulu, HI 96814-1873

Mailing Address1401 S Beretania St Ste 500Honolulu, HI 96814-1873 · (808) 988-8700 · Fax (808) 888-3871

Phone(808) 988-8700

Fax(808) 888-3871

Sole ProprietorNo

Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2004

Enumeration DateMarch 1, 2007

Last NPPES UpdateSeptember 3, 2013

✔ NPI 1487782736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in HI · MD-13989

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1401 S BERETANIA ST STE 500, Honolulu, HI 96814

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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. Traci T Masaki Tesoro 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 ID4284725383

PECOS Enrollment IDI20070803000127

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 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.

168 services136 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.

106 services106 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.

54 services47 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.

19 services18 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.

19 services18 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

Kapiolani Medical Center For Women & Children

Childrens · Honolulu, HI

OwnershipVoluntary non-profit - Private

CMS Certification Number123300

Location1319 Punahou StreetHonolulu, HI 96826 · Honolulu County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 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.

Other Providers at the Same Location NPPES 2

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

DR. MAHDI RAZEEB VEILLET-CHOWDHURY M.D.

Internal Medicine (Cardiovascular Disease)

1401 S BERETANIA ST STE 500
HONOLULU, HI 96814

Honolulu County (808) 691-6111

DR. ANDREW KYU-HONG JUN MD

Family Medicine

1401 S BERETANIA ST STE 500
HONOLULU, HI 96814

Honolulu County (808) 988-8700

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 Traci Masaki Tesoro's NPI number?

The NPI number for Traci Masaki Tesoro is 1487782736. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Traci Masaki Tesoro located?

Traci Masaki Tesoro practices at 1401 S Beretania St Ste 500, Honolulu, HI 96814. The listed phone number is (808) 988-8700.

What is Traci Masaki Tesoro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Traci Masaki Tesoro enrolled in Medicare?

Yes. Traci Masaki Tesoro 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 Traci Masaki Tesoro accept?

Health plans from HMSA list Traci Masaki Tesoro 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 Traci Masaki Tesoro affiliated with any hospitals?

According to CMS data, Traci Masaki Tesoro is affiliated with The Queens Medical Center and Kapiolani Medical Center For Women & Children.

When was this NPI record last updated?

The NPPES record for Traci Masaki Tesoro was last updated on September 3, 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.