RANDY W STARK M.D.
NPI 1710987664
Emergency Medicine in Wailuku, HI

Q: What is Randy Stark's NPI number?

The NPI number for Randy Stark is 1710987664. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is Randy Stark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Randy Stark was last updated on July 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment

221 MAHALANI ST, WAILUKU, HI 96793(808) 242-2343(808) 242-2465 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Randy W Stark M.d. NPPES

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

RANDY W STARK M.D. (NPI 1710987664) is an individual emergency medicine provider in Wailuku, Hawaii, licensed in California (A73186) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and is a graduate of University Of California, Davis School Of Medicine (1999).

NPPES Registry Identity

NPI1710987664

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameRANDY W STARKCredential: M.D.

Location Address221 MAHALANI STWailuku, HI 96793-2526

Mailing Address3916 State St, #300Santa Barbara, CA 93105-5602 · (805) 563-3011 · Fax (805) 564-5087

Phone(808) 242-2343

Fax(808) 242-2465

Sole ProprietorYes

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1999

Enumeration DateJuly 21, 2005

Last NPPES UpdateJuly 27, 2009

✔ NPI 1710987664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A73186

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

221 MAHALANI ST, Wailuku, HI 96793

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Other Identifiers 4

Medicare ID-Type Unspecified00A731860CA

Medicaid00A731860CA

Medicare UPINH61246CA

Medicare PINBP604ZHI

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

Randy W Stark 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 ID2466500566

PECOS Enrollment IDI20090429000498

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

78 services75 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

74 services70 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

69 services67 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number120002

Location221 Mahalani StreetWailuku, HI 96793 · Maui County

Birthing friendly

Lanai Community Hospital

Critical Access Hospitals · Lanai City, HI

OwnershipVoluntary non-profit - Private

CMS Certification Number121305

Location628 7th StreetLanai City, HI 96763 · Maui County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 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.

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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.

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