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JAY MICHAEL MURPHY M.D.
NPI 1679569586
Otolaryngology in Lihue, HI

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
3-3420 KUHIO HWY, SUITE B, LIHUE, HI 96766(808) 245-1529(808) 246-1638 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jay Michael Murphy M.d. NPPES

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

JAY MICHAEL MURPHY M.D. (NPI 1679569586) is an individual otolaryngology provider in Lihue, Hawaii, licensed in Virgin Islands (1297) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of University Of Southern California Keck School Of Medicine (1985).

NPPES Registry Identity

NPI1679569586
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJAY MICHAEL MURPHYCredential: M.D.
Location Address3-3420 KUHIO HWY, SUITE BLihue, HI 96766
Mailing Address3-3420 Kuhio Hwy, Suite BLihue, HI 96766 · (808) 245-1529 · Fax (808) 246-1638
Phone(808) 245-1529
Fax(808) 246-1638
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1985
Enumeration DateSeptember 26, 2005
Last NPPES UpdateApril 1, 2010
✔ NPI 1679569586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VI · 1297
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3-3420 KUHIO HWY, Lihue, HI 96766
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Other Identifiers 1

Medicare PIN0022943VI

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

Jay Michael Murphy 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 ID1456337930
PECOS Enrollment IDI20100219000371
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 7

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
134 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
134 services106 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 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.
120 services91 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 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.
108 services108 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
74 services74 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
59 services42 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96766 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
$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.

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.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.12
Promoting Interoperability100
Improvement Activities40
Cost69.73

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.

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims352 services$5.53 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims7,496 services$0.37 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$63.05 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.

DR. ROBERT J. CONRAD M.D.
Emergency Medicine
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1500
DR. ROBERT T. MATHIS M.D.
Obstetrics & Gynecology
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1500
DR. SUMMER DOUBAN M.D.
Hospitalist
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1100
DR. JAMES O. SCAMAHORN M.D.
Emergency Medicine
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1010
DR. JOHN JAMES CULLINEY M.D.
Radiology (Diagnostic Radiology)
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1293
DANIELLE HILL MSN, RN
Registered Nurse (Diabetes Educator)
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 246-1380
DR. DAVID ROBERT MCDONALD MD
Obstetrics & Gynecology
3-3420 KUHIO HWY
LIHUE, HI 96766
Kauai County (808) 245-1511
DR. MICHAEL D. JOHNSTON M.D.
Anesthesiology
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Kauai County (808) 245-1020

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 Jay Murphy's NPI number?

The NPI number for Jay Murphy is 1679569586. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Jay Murphy located?

Jay Murphy practices at 3-3420 Kuhio Hwy Suite B, Lihue, HI 96766. The listed phone number is (808) 245-1529.

What is Jay Murphy's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jay Murphy enrolled in Medicare?

Yes. Jay Murphy 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 Jay Murphy accept?

Health plans from HMSA list Jay Murphy 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 Jay Murphy affiliated with any hospitals?

According to CMS data, Jay Murphy is affiliated with Wilcox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jay Murphy was last updated on April 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.