KYLE A MITSUNAGA MD
NPI 1811054257
Orthopaedic Surgery in Honolulu, HI

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
1380 LUSITANA ST, SUITE 905, HONOLULU, HI 96813(808) 522-9633(808) 522-9646 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyle A Mitsunaga Md NPPES

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

KYLE A MITSUNAGA MD (NPI 1811054257) is an individual orthopaedic surgery provider in Honolulu, Hawaii, licensed in California (A98013) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2005).

NPPES Registry Identity

NPI1811054257
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKYLE A MITSUNAGACredential: MD
Location Address1380 LUSITANA ST, SUITE 905Honolulu, HI 96813-2449
Mailing Address1380 Lusitana St, Suite 905Honolulu, HI 96813-2449 · (808) 522-9633 · Fax (808) 522-9646
Fax(808) 522-9646
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2005
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJune 20, 2016
NPI 1811054257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · A98013
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1380 LUSITANA ST, Honolulu, HI 96813

Other Identifiers 1

Medicare UPINRES0000CA

Accepted 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

Kyle A Mitsunaga Md 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 ID7416140462
PECOS Enrollment IDI20121024000829
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 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.
282 services156 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.
50 services26 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
44 services23 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
37 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
32 services32 patients

Hospital Affiliations CMS Care Compare 4

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

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

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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.

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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
87%52 patients4/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%83 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
37%275 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
89%1,256 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
68%539 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%472 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
6%444 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 84% · 301 patients
Patients tobacco: 78% · 301 patients
10%20 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%539 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%539 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%539 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Specialist
1380 LUSITANA ST, STE 1007
HONOLULU, HI 96813
Specialist
1380 LUSITANA ST, SUITE 1002
HONOLULU, HI 96813
Orthopaedic Surgery (Sports Medicine)
1380 LUSITANA ST, SUITE 608
HONOLULU, HI 96813
Ophthalmology
1380 LUSITANA ST, STE 714
HONOLULU, HI 96813
Psychiatry & Neurology (Neurology)
1380 LUSITANA ST, STE 705
HONOLULU, HI 96813
Clinical Medical Laboratory
1380 LUSITANA ST, 804
HONOLULU, HI 96813
Family Medicine
1380 LUSITANA ST, SUITE 509
HONOLULU, HI 96813
Neurological Surgery
1380 LUSITANA ST, #712
HONOLULU, HI 96813

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 Kyle Mitsunaga's NPI number?

The NPI number for Kyle Mitsunaga is 1811054257. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Kyle Mitsunaga located?

Kyle Mitsunaga practices at 1380 Lusitana St Suite 905, Honolulu, HI 96813. The listed phone number is (808) 522-9633.

What is Kyle Mitsunaga's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kyle Mitsunaga enrolled in Medicare?

Yes. Kyle Mitsunaga 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 Kyle Mitsunaga accept?

Health plans from HMSA list Kyle Mitsunaga 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 Kyle Mitsunaga affiliated with any hospitals?

According to CMS data, Kyle Mitsunaga is affiliated with The Queens Medical Center, Adventist Health Castle, Wilcox Memorial Hospital and Straub Clinic And Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Mitsunaga was last updated on June 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.