CIRO DUFRAYER LCSW
NPI 1609388172
Social Worker - Clinical in Keaau, HI

Active since October 24, 2017PECOS EnrolledAccepts Medicare Assignment
15-1729 23RD AVE, KEAAU, HI 96778(929) 233-4275 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2026, Apr 27, 2026, Jul 13, 2025 and 1 more (4 updates tracked since 2017).

About Ciro Dufrayer Lcsw NPPES

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

CIRO DUFRAYER LCSW (NPI 1609388172) is an individual clinical provider in Keaau, Hawaii, licensed in Hawaii (LCSW-4733) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609388172
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCIRO DUFRAYERCredential: LCSW
Location Address15-1729 23RD AVEKeaau, HI 96778
Mailing AddressPo Box 321Hilo, HI 96721-0321
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 24, 2017
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1609388172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in HI · LCSW-4733✔ Licensed in NY · 101896
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
15-1729 23RD AVE, Keaau, HI 96778

Accepted 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

Ciro Dufrayer Lcsw 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 ID547657678
PECOS Enrollment IDI20220420000939
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

2

Medicare enrollment records show Ciro Dufrayer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice and Palliative Medicine
590 KAPIOLANI ST
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 7 clinicians in this Medicare group
Community/Behavioral Health
224 KAMEHAMEHA AVE # 201
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 8 clinicians in this Medicare group

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 2

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
101 services37 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
42 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96778 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
$0.00 typical visit price
range $60.53 – $180.05
Typical copayment $0.00 (range $15.13 – $45.01)
Most-billed visit code NA
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ciro Dufrayer's NPI number?

The NPI number for Ciro Dufrayer is 1609388172. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Ciro Dufrayer located?

Ciro Dufrayer practices at 15-1729 23rd Ave, Keaau, HI 96778. The listed phone number is (929) 233-4275.

What is Ciro Dufrayer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ciro Dufrayer enrolled in Medicare?

Yes. Ciro Dufrayer 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 Ciro Dufrayer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ciro Dufrayer reassigns Medicare benefits to 2 organizations: Hospice Of Hilo (Hilo, HI) and Pau Hana Counseling, LLC (Hilo, 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 Ciro Dufrayer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ciro Dufrayer accept?

Health plans from HMSA list Ciro Dufrayer 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.

When was this NPI record last updated?

The NPPES record for Ciro Dufrayer was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.