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STEPHEN D COLEMAN M.D.
NPI 1952368987
Internal Medicine - Gastroenterology in Waimea, HI

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
61.05/100
CMS Quality Rating
4643 WAIMEA CANYON RD., STE. B, WAIMEA, HI 96796(808) 338-8311(808) 240-5580 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen D Coleman M.d. NPPES

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

STEPHEN D COLEMAN M.D. (NPI 1952368987) is an individual gastroenterology provider in Waimea, Hawaii, licensed in Maine (MD13842) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Kauai Veterans Memorial Hospital, and is a graduate of University Of California, San Diego School Of Medicine (1987).

NPPES Registry Identity

NPI1952368987
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSTEPHEN D COLEMANCredential: M.D.
Location Address4643 WAIMEA CANYON RD., STE. BWaimea, HI 96796
Mailing AddressP.o. Box 337Waimea, HI 96796-0337 · (808) 240-2723 · Fax (808) 240-5569
Phone(808) 338-8311
Fax(808) 240-5580
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1987
Enumeration DateApril 26, 2006
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1952368987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in ME · MD13842✔ Licensed in ME · 13842
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4643 WAIMEA CANYON RD., Waimea, HI 96796
Open in Google Maps ↗

Other Identifiers 2

Medicaid1952368987ME
Medicaid337170099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen D Coleman 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 ID4789611823
PECOS Enrollment IDI20200217000392
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stephen Coleman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kauai Veterans Memorial Hospital
Same address
Critical Access
4643 WAIMEA CANYON DRIVE
Waimea, HI 96796
  • Reassigned Medicare billing, Hawaii enrollment
  • 25 clinicians in this Medicare group
NPI 1467510743 (808) 338-9431
Samuel Mahelona Memorial Hospital
Same address
Rural Health
4643 WAIMEA CANYON DR. STE.B
Waimea, HI 96796
  • Reassigned Medicare billing, Hawaii enrollment
  • 66 clinicians in this Medicare group
NPI 1669068680 (808) 338-8311
Kauai Medical Clinic
20 mi
Multi-Specialty
3-3420 KUHIO HWY, SUITE B
Lihue, HI 96766
  • Reassigned Medicare billing, Hawaii enrollment
  • 298 clinicians in this Medicare group
NPI 1376596643 (808) 245-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
14 services14 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
14 services14 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Kauai Veterans Memorial Hospital

Critical Access Hospitals · Waimea, HI
OwnershipGovernment - State
CMS Certification Number121300
Location4643 Waimea Canyon DriveWaimea, HI 96796 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96796 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
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.

61.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality29.19
Promoting Interoperability100
Improvement Activities40

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 Coleman's NPI number?

The NPI number for Stephen Coleman is 1952368987. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Stephen Coleman located?

Stephen Coleman practices at 4643 Waimea Canyon Rd. Ste. B, Waimea, HI 96796. The listed phone number is (808) 338-8311.

What is Stephen Coleman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Stephen Coleman enrolled in Medicare?

Yes. Stephen Coleman 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.

Which organizations bill Medicare for Stephen Coleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Coleman reassigns Medicare benefits to 3 organizations: Kauai Veterans Memorial Hospital (Waimea, HI), Samuel Mahelona Memorial Hospital (Waimea, HI) and Kauai Medical Clinic (Lihue, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Coleman accept?

Health plans from HMSA and Kaiser Permanente list Stephen Coleman 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 Stephen Coleman affiliated with any hospitals?

According to CMS data, Stephen Coleman is affiliated with Kauai Veterans Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Coleman was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.