TAMSYN KELLOUGH
NPI 1770143026
Physician Assistant in Wailuku, HI

Q: What is Tamsyn Kellough's NPI number?

The NPI number for Tamsyn Kellough is 1770143026. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Q: What is Tamsyn Kellough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tamsyn Kellough was last updated on May 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment

2180 MAIN ST, WAILUKU, HI 96793(808) 249-8080 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2020, Feb 3, 2020, Jun 19, 2019 (3 updates tracked since 2019).

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About Tamsyn Kellough NPPES

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

TAMSYN KELLOUGH (NPI 1770143026) is an individual physician assistant in Wailuku, Hawaii and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Rafael, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770143026

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTAMSYN KELLOUGH

Location Address2180 MAIN STWailuku, HI 96793-1625

Mailing Address270 Palama DrKahului, HI 96732-1450 · (740) 708-2069

Phone(808) 249-8080

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 19, 2019

Last NPPES UpdateMay 4, 20203 updates tracked since enumeration

NPPES CertifiedMay 4, 2020

✔ NPI 1770143026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

2180 MAIN ST, Wailuku, HI 96793

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Secondary Practice Location 1

Location 150 Acacia AveSan Rafael, CA 94901-2298 · Phone (415) 257-2823 · Fax (415) 482-1865

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

Tamsyn Kellough 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 ID143651489

PECOS Enrollment IDI20200520002768

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 5

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.

181 services114 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.

67 services55 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.

63 services63 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.

18 services18 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.

11 services11 patients

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

$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.

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier20 claims20 services$49.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MR. ARTHUR RUBEN SAKAKIHARA - CHAVARRIA PA-C

Physician Assistant (Medical)