SCOTT JOHN MISCOVICH M.D.
NPI 1669529400
Family Medicine in Kaneohe, HI

Q: What is Scott Miscovich's NPI number?

The NPI number for Scott Miscovich is 1669529400. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Scott Miscovich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Miscovich was last updated on September 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 04, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 12D1014638 · Microscopy

38.18/100

CMS Quality Rating

46-001 KAMEHAMEHA HWY STE 109, KANEOHE, HI 96744(808) 247-7596 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Scott John Miscovich M.d. NPPES

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

SCOTT JOHN MISCOVICH M.D. (NPI 1669529400) is an individual family medicine provider in Kaneohe, Hawaii, licensed in Hawaii (MD 6854) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through July 10, 2027, and is affiliated with The Queens Medical Center.

NPPES Registry Identity

NPI1669529400

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSCOTT JOHN MISCOVICHCredential: M.D.

Location Address46-001 KAMEHAMEHA HWY STE 109Kaneohe, HI 96744-3724

Mailing Address46-001 Kamehameha Hwy Ste 109Kaneohe, HI 96744-3724 · (808) 247-7596

Phone(808) 247-7596

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 1988

Enumeration DateJanuary 4, 2007

Last NPPES UpdateSeptember 6, 2024

NPPES CertifiedSeptember 6, 2024

✔ NPI 1669529400 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 6854

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.

46-001 KAMEHAMEHA HWY STE 109, Kaneohe, HI 96744

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Secondary Practice Locations 2

Location 146-001 Kamehameha Hwy Ste 107Kaneohe, HI 96744-3720 · Phone (808) 234-1094

Location 245-1144 Kamehameha Hwy Ste 500Kaneohe, HI 96744-3226 · Phone (808) 247-9408

Other Identifiers 2

Other65197HI · Hmsa

Medicaid05672605HI

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

Scott John Miscovich 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 ID9931098506

PECOS Enrollment IDI20100924000505

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 12D1014638

Scott J Miscovich, MD · Kaneohe, HI

Active · expires Jul 10, 2027

CLIA Number12D1014638

Laboratory TypePhysician Office

Certificate Effective DateJuly 11, 2025

Certificate Expiration DateJuly 10, 2027

Laboratory DirectorScott J. Miscovich, MD

Laboratory Phone(808) 247-7596

Laboratory LocationScott J Miscovich, MD46-001 Kamehameha Hwy Suite 109, Kaneohe, HI 96744

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 20

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.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

1,376 services429 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

817 services464 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

666 services365 patients

New patient office or other outpatient visit, 30-44 minutes 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

208 services208 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

77 services63 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

69 services45 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

58 services48 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

55 services45 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

52 services48 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

35 services35 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

31 services28 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

29 services28 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

23 services23 patients

Adm sarscov2 30mcg/0.3ml 3rd 0003A

This refers to the administration of a 30 microgram dose of a SARS-CoV-2 vaccine in a 0.3 milliliter volume. It's the third dose, often referred to as a booster shot, which helps to strengthen your body's immune response against the COVID-19 virus.

22 services22 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

22 services11 patients

Adm sarscov2 100mcg/0.5ml3rd 0013A

This is the administration of a third dose of a SARS-CoV-2 vaccine, given in a dose of 100 micrograms in 0.5 milliliters. This vaccine helps your body develop immunity against the COVID-19 virus. It's a crucial step in protecting your health.

17 services16 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

17 services17 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.

13 services13 patients

New patient office or other outpatient visit, 15-29 minutes 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 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

Adventist Health Castle

Acute Care Hospitals · Kailua, HI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number120006

Location640 Ulukahiki StKailua, HI 96734 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96744 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.

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.

38.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

46.66

Improvement Activities

Cost

60.04

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$15.43 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$791.29 avg. paid by Medicare

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

2 suppliers25 claims25 services$62.60 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 4

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

MRS. DEVON WHITNEY DOLAN DPT

Physical Therapist

46-001 KAMEHAMEHA HWY STE 109
KANEOHE, HI 96744

Honolulu County (808) 247-7596

SCOTT J. MISCOVICH MD, LLC

Family Medicine

46-001 KAMEHAMEHA HWY STE 109
KANEOHE, HI 96744

Honolulu County (808) 247-7596

MR. KAIPO KAIULU HAA LINDSEY PA-C

Physician Assistant

46-001 KAMEHAMEHA HWY STE 109
KANEOHE, HI 96744

Honolulu County (808) 247-7596

KENNETH EDWARDS PA-C

Physician Assistant

46-001 KAMEHAMEHA HWY STE 109
KANEOHE, HI 96744

Honolulu County (808) 247-7596

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 Scott Miscovich's NPI number?

The NPI number for Scott Miscovich is 1669529400. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Scott Miscovich located?

Scott Miscovich practices at 46-001 Kamehameha Hwy Ste 109, Kaneohe, HI 96744. The listed phone number is (808) 247-7596.

What is Scott Miscovich's specialty?

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

Is Scott Miscovich enrolled in Medicare?

Yes. Scott Miscovich 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.

Does Scott Miscovich hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D1014638) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scott Miscovich accept?

Health plans from HMSA list Scott Miscovich 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 Scott Miscovich affiliated with any hospitals?

According to CMS data, Scott Miscovich is affiliated with The Queens Medical Center and Adventist Health Castle.

When was this NPI record last updated?

The NPPES record for Scott Miscovich was last updated on September 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

About Scott John Miscovich M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Secondary Practice Locations 2

Other Identifiers 2

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate for Provider-Performed Microscopy Procedures (PPMP) · 12D1014638

Areas of Expertise CMS Part B claims 20

Hospital Affiliations CMS Care Compare 2

The Queens Medical Center

Adventist Health Castle

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 3

Other Providers at the Same Location NPPES 4

Frequently Asked Questions NPPES & CMS

What is Scott Miscovich's NPI number?

Where is Scott Miscovich located?

What is Scott Miscovich's specialty?

Is Scott Miscovich enrolled in Medicare?

Does Scott Miscovich hold a CLIA laboratory certificate?

What insurance does Scott Miscovich accept?

Is Scott Miscovich affiliated with any hospitals?

When was this NPI record last updated?

Certificate for Provider-Performed Microscopy Procedures (PPMP) 12D1014638