NEAL A PALAFOX MD
NPI 1912977109
Family Medicine in Mililani, HI

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
86.27/100
CMS Quality Rating
95-390 KUAHELANI AVE, MILILANI, HI 96789(808) 627-3200(808) 623-7872 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Neal A Palafox Md NPPES

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

NEAL A PALAFOX MD (NPI 1912977109) is an individual family medicine provider in Mililani, Hawaii, licensed in Hawaii (MD5623) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1980).

NPPES Registry Identity

NPI1912977109
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNEAL A PALAFOXCredential: MD
Location Address95-390 KUAHELANI AVEMililani, HI 96789-1192
Mailing Address128 Lehua StWahiawa, HI 96786-2036 · (808) 621-8411 · Fax (808) 621-4117
Fax(808) 623-7872
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1980
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJuly 12, 2007
NPI 1912977109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in HI · MD5623
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

95-390 KUAHELANI AVE, Mililani, HI 96789

Other Identifiers 4

Medicaid07001401HI
Other910313HI · Hmsa
Medicare UPINF75643
Medicare ID-Type UnspecifiedBDVMJHI

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

Neal A Palafox 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 ID6305732314
PECOS Enrollment IDI20040809001133
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

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, 20-29 minutes 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.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96789 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.

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.

86.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.87
Promoting Interoperability100
Improvement Activities40
Cost71.37

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.

Optometrist
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE, PHYSICIAN CENTER MILILANI
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789

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 Neal Palafox's NPI number?

The NPI number for Neal Palafox is 1912977109. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Neal Palafox located?

Neal Palafox practices at 95-390 Kuahelani Ave, Mililani, HI 96789. The listed phone number is (808) 627-3200.

What is Neal Palafox's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Neal Palafox enrolled in Medicare?

Yes. Neal Palafox 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 Neal Palafox accept?

Health plans from HMSA list Neal Palafox 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 Neal Palafox was last updated on July 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.