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BRIAN THIELEN
NPI 1568042885
Family Medicine in Hilo, HI

Active since April 11, 2021PECOS EnrolledAccepts Medicare Assignment
1190 WAIANUENUE AVE, HILO, HI 96720(808) 932-3730 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Apr 11, 2021 (2 updates tracked since 2021).

About Brian Thielen NPPES

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

BRIAN THIELEN (NPI 1568042885) is an individual family medicine provider in Hilo, Hawaii, licensed in Hawaii (MD-24299) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Kona Community Hospital, and maintains a secondary practice location in Kalispell.

NPPES Registry Identity

NPI1568042885
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRIAN THIELEN
Location Address1190 WAIANUENUE AVEHilo, HI 96720-2089
Mailing Address1190 Waianuenue AveHilo, HI 96720-2089
Phone(808) 932-3730
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2021
Enumeration DateApril 11, 2021
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1568042885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in HI · MD-24299✔ Licensed in MT · MED-PHYS-LIC-160504
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.
1190 WAIANUENUE AVE, Hilo, HI 96720
Open in Google Maps ↗

Secondary Practice Location 1

Location 1160 Heritage Way Ste 202Kalispell, MT 59901-3127 · Phone (406) 752-8433 · Fax (406) 756-6768

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, HMSA, Mountain Health CO-OP and more.Insurance ›

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

Brian Thielen 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 ID1355877390
PECOS Enrollment IDI20241213000586, I20260225001761
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

5

Medicare enrollment records show Brian Thielen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hilo Benioff Medical Center
Same address
General Acute Care Hospital
1190 WAIANUENUE AVE
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 263 clinicians in this Medicare group
NPI 1780757856 (808) 932-3000
Kau Hospital
43 mi
Critical Access
1 KAMANI STREET
Pahala, HI 96777
  • Reassigned Medicare billing, Hawaii enrollment
  • 208 clinicians in this Medicare group
NPI 1982276127 (808) 932-4200
Sound Physicians Of Hawaii Inc
54 mi
Internal Medicine
79-1019 HAUKAPILA ST
Kealakekua, HI 96750
  • Reassigned Medicare billing, Hawaii enrollment
  • 65 clinicians in this Medicare group
NPI 1740658053 (808) 322-9311
Kalispell Regional Medical Center Inc
2,955 mi
Obstetrics & Gynecology
401 LOUISIANA AVE
Libby, MT 59923
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1851782940 (406) 283-7440
St. John's Lutheran Hospital, Inc.
2,955 mi
Critical Access
209 HEALTH PARK DR
Libby, MT 59923
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: St Johns Lutheran Hospital Inc
  • 67 clinicians in this Medicare group
NPI 1952312050 (406) 283-7000

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

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Cabinet Peaks Medical Center

Critical Access Hospitals · Libby, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271320
Location209 Health Park DrLibby, MT 59923 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96720 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 20

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

KYLE NUGENT
Student in an Organized Health Care Education/Training Program
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 932-3730
DR. JON V MARTELL MD
Internal Medicine
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 974-4700
MR. ARTHUR SAMPAGA JR. RN
Registered Nurse
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 933-0779
JOANNA ELEONORA HIGHSTEIN MD
Student in an Organized Health Care Education/Training Program
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 932-3730
MRS. JOY SAKAI WILSON MD
Internal Medicine
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 932-3395
DR. TIFFANY MA M.D., M.P.H
Internal Medicine
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (925) 487-0372
DR. ANDREW CHANG MD
Family Medicine
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 932-4215
DR. STEVEN J GARON MD
Anesthesiology
1190 WAIANUENUE AVE, ATTN ANESTHESIA DEPT
HILO, HI 96720
Hawaii County (808) 974-4700

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 Brian Thielen's NPI number?

The NPI number for Brian Thielen is 1568042885. It was assigned to this individual provider in the NPPES registry on April 11, 2021.

Where is Brian Thielen located?

Brian Thielen practices at 1190 Waianuenue Ave, Hilo, HI 96720. The listed phone number is (808) 932-3730.

What is Brian Thielen's specialty?

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

Is Brian Thielen enrolled in Medicare?

Yes. Brian Thielen 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 Brian Thielen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Thielen reassigns Medicare benefits to 5 organizations: Hilo Benioff Medical Center (Hilo, HI), Kau Hospital (Pahala, HI), Sound Physicians Of Hawaii Inc (Kealakekua, HI), Kalispell Regional Medical Center Inc (Libby, MT) and St. John's Lutheran Hospital, Inc. (Libby, MT). 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 Brian Thielen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Thielen accept?

Health plans from Blue Cross and Blue Shield of Montana, HMSA, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Brian Thielen 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 Brian Thielen affiliated with any hospitals?

According to CMS data, Brian Thielen is affiliated with Kona Community Hospital, Logan Health Medical Center and Cabinet Peaks Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Thielen was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.