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STEPHEN A WARSH M.D.
NPI 1801858295
General Practice in Hilo, HI

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
45 MOHOULI ST, HILO, HI 96720(808) 969-3051(808) 969-3728 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stephen A Warsh M.d. NPPES

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

STEPHEN A WARSH M.D. (NPI 1801858295) is an individual general practice provider in Hilo, Hawaii, licensed in Hawaii (MD-8205) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1801858295
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSTEPHEN A WARSHCredential: M.D.
Location Address45 MOHOULI STHilo, HI 96720-4145
Mailing AddressPo Box 857Hilo, HI 96721-0857 · (808) 969-3051 · Fax (808) 969-3728
Phone(808) 969-3051
Fax(808) 969-3728
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 3, 2008
✔ NPI 1801858295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in HI · MD-8205
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
45 MOHOULI ST, Hilo, HI 96720
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Other Identifiers 1

Medicare PINH103767HI

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

Stephen A Warsh 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 ID4183626013
PECOS Enrollment IDI20070206000626
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 9

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.
161 services150 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.
121 services121 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
109 services108 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
72 services72 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
40 services40 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.
26 services23 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

DOUGLAS J. ROSE M.D.
Family Medicine
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 932-3740
MRS. JENNIFER DALE THORPE RN
Registered Nurse (Psychiatric/Mental Health)
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 825-0844
NIKKI MINAMI RN
Registered Nurse (General Practice)
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 935-3781
MICHELLE WASSON ARNOLD RN
Registered Nurse
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 464-8778
KUIKAWANAPUA AKIONA RN
Registered Nurse
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 934-3038
MR. JAMES KENNETH DRESCHER RN
Registered Nurse (Ambulatory Care)
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 934-3009
MR. MICHAEL LANGMEAD FNP-BC
Nurse Practitioner (Family)
45 MOHOULI ST
HILO, HI 96720
Hawaii County (520) 235-2156
DR. ROBERT W. GOODWIN M.D.
General Practice
45 MOHOULI ST
HILO, HI 96720
Hawaii County (808) 430-9555

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 Stephen Warsh's NPI number?

The NPI number for Stephen Warsh is 1801858295. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Stephen Warsh located?

Stephen Warsh practices at 45 Mohouli St, Hilo, HI 96720. The listed phone number is (808) 969-3051.

What is Stephen Warsh's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Stephen Warsh enrolled in Medicare?

Yes. Stephen Warsh 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 Stephen Warsh accept?

Health plans from HMSA list Stephen Warsh 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 Stephen Warsh was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.