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DR. BEAU DYLAN K FERN M.D.
NPI 1558620567
Internal Medicine in Honolulu, HI

Active since May 10, 2012PECOS EnrolledAccepts Medicare Assignment
1356 LUSITANA ST, 7TH FLOOR, HONOLULU, HI 96813(808) 586-2910 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Beau Dylan K Fern M.d. NPPES

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

DR. BEAU DYLAN K FERN M.D. (NPI 1558620567) is an individual internal medicine provider in Honolulu, Hawaii, licensed in Hawaii (MD-18036) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1558620567
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BEAU DYLAN K FERNCredential: M.D.
Location Address1356 LUSITANA ST, 7TH FLOORHonolulu, HI 96813
Mailing Address91-2141 Fort Weaver RdEwa Beach, HI 96706-1993 · (808) 691-3190
Phone(808) 586-2910
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 10, 2012
Last NPPES UpdateJune 27, 2018
✔ NPI 1558620567 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-18036
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1356 LUSITANA ST, Honolulu, HI 96813
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Beau Dylan K Fern 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 ID7113232612
PECOS Enrollment IDI20150812008750
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Beau Fern reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Queens University Medical Group
Same address
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000
The Queen's Medical Center
Same address
General Acute Care Hospital
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: The Queens Medical Center
  • 809 clinicians in this Medicare group
NPI 1487693586 (808) 538-9011
Molokai General Hospital
56 mi
Critical Access
280 HOMEOLU PLACE
Kaunakakai, HI 96748
  • Reassigned Medicare billing, Hawaii enrollment
  • 15 clinicians in this Medicare group
NPI 1366486979 (808) 553-5331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
164 services65 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 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

Molokai General Hospital

Critical Access Hospitals · Kaunakakai, HI
OwnershipVoluntary non-profit - Private
CMS Certification Number121303
Location280 Home Olu PlaceKaunakakai, HI 96748 · Maui County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%144 patients4/55-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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier27 claims27 services$65.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$33.96 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 20

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

DANIEL A. ALICATA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1356 LUSITANA ST, 4TH FLOOR
HONOLULU, HI 96813
Honolulu County (808) 586-2900
CHASE H WARASHINA MD
Internal Medicine
1356 LUSITANA ST
HONOLULU, HI 96813
Honolulu County (808) 457-7930
GI HAWAII
Internal Medicine (Gastroenterology)
1356 LUSITANA ST
HONOLULU, HI 96813
Honolulu County (808) 377-1812
DR. LOUISE A ZITNIK M.D., PH.D.
Student in an Organized Health Care Education/Training Program
1356 LUSITANA ST, 4TH FLOOR
HONOLULU, HI 96813
Honolulu County (808) 586-2900
THEODORE CHANG D.O.
Student in an Organized Health Care Education/Training Program
1356 LUSITANA ST, STE. 510
HONOLULU, HI 96813
Honolulu County (808) 586-2890
DR. SHAYLIN P.Y.K. CHOCK M.D.
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST, 4TH FL.
HONOLULU, HI 96813
Honolulu County (808) 586-2900
FUMIHIRO KODAMA
Internal Medicine
1356 LUSITANA ST, ROOM705
HONOLULU, HI 96813
Honolulu County (808) 586-2910
EDISON SO M.D.
Student in an Organized Health Care Education/Training Program
1356 LUSITANA ST
HONOLULU, HI 96813
Honolulu County (808) 586-7482

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 Beau Fern's NPI number?

The NPI number for Beau Fern is 1558620567. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Where is Beau Fern located?

Beau Fern practices at 1356 Lusitana St 7th Floor, Honolulu, HI 96813. The listed phone number is (808) 586-2910.

What is Beau Fern's specialty?

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

Is Beau Fern enrolled in Medicare?

Yes. Beau Fern 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.

Which organizations bill Medicare for Beau Fern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beau Fern reassigns Medicare benefits to 3 organizations: Queens University Medical Group (Honolulu, HI), The Queen's Medical Center (Honolulu, HI) and Molokai General Hospital (Kaunakakai, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beau Fern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Beau Fern affiliated with any hospitals?

According to CMS data, Beau Fern is affiliated with The Queens Medical Center and Molokai General Hospital.

When was this NPI record last updated?

The NPPES record for Beau Fern was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.