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DR. RON D AH LOY M.D.
NPI 1598795403
Internal Medicine - Gastroenterology in Kamuela, HI

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
64-5188 KINOHOU ST, KAMUELA, HI 96743(808) 887-0600(808) 887-6699 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ron D Ah Loy M.d. NPPES

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

DR. RON D AH LOY M.D. (NPI 1598795403) is an individual gastroenterology provider in Kamuela, Hawaii, licensed in Hawaii (MD4748) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Kona Community Hospital, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1978).

NPPES Registry Identity

NPI1598795403
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RON D AH LOYCredential: M.D.
Location Address64-5188 KINOHOU STKamuela, HI 96743-8409
Mailing Address64-5188 Kinohou StKamuela, HI 96743-8409 · (808) 887-0600 · Fax (808) 887-6699
Phone(808) 887-0600
Fax(808) 887-6699
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1978
Enumeration DateJuly 4, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1598795403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in HI · MD4748
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD4748 (HI)
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License MD4748 (HI)
64-5188 KINOHOU ST, Kamuela, HI 96743
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Other Identifiers 3

Medicare UPINC98702HI
Medicaid01314401HI
Medicare PINH54710HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.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. Ron D Ah Loy 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 ID6901796630
PECOS Enrollment IDI20040727000261
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 10

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.
45 services36 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services35 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
34 services34 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
28 services28 patients
Destruction of polyp or growth of large bowel using a flexible endoscope 45388
This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.
28 services28 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.
23 services21 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 96743 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

Photodocumentation of Cecal Intubation
The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination
100%104 patients
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.

Other Providers at the Same Location NPPES 3

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

RON D AH LOY MD INC
Internal Medicine (Gastroenterology)
64-5188 KINOHOU ST
KAMUELA, HI 96743
Hawaii County (808) 887-0600
DR. MICHAEL W KIMBALL M.D.
Internal Medicine (Gastroenterology)
64-5188 KINOHOU ST
KAMUELA, HI 96743
Hawaii County (808) 887-0600
BIG ISLAND ENDOSCOPY CENTER, LLC
Clinic/Center (Endoscopy)
64-5188 KINOHOU ST
KAMUELA, HI 96743
Hawaii County (808) 887-0600

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 Ron Ah Loy's NPI number?

The NPI number for Ron Ah Loy is 1598795403. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Ron Ah Loy located?

Ron Ah Loy practices at 64-5188 Kinohou St, Kamuela, HI 96743. The listed phone number is (808) 887-0600.

What is Ron Ah Loy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ron Ah Loy enrolled in Medicare?

Yes. Ron Ah Loy 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 Ron Ah Loy accept?

Health plans from HMSA and Kaiser Permanente list Ron Ah Loy 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 Ron Ah Loy affiliated with any hospitals?

According to CMS data, Ron Ah Loy is affiliated with Kona Community Hospital and North Hawaii Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Ron Ah Loy was last updated on June 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.