MR. TIMOTHY R. SMITH PHYSICIAN ASSISTANT
NPI 1962583302
Physician Assistant in Honolulu, HI

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
3288 MOANALUA RD, HONOLULU, HI 96819(808) 432-0000 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2021, May 9, 2018 (2 updates tracked since 2018).

About Mr. Timothy R. Smith Physician Assistant NPPES

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

MR. TIMOTHY R. SMITH PHYSICIAN ASSISTANT (NPI 1962583302) is an individual physician assistant in Honolulu, Hawaii, licensed in Oregon (PA00687) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1962583302
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY R. SMITHCredential: PHYSICIAN ASSISTANT
Location Address3288 MOANALUA RDHonolulu, HI 96819-1469
Mailing Address3288 Moanalua RdHonolulu, HI 96819-1469 · (808) 432-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 18, 2006
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
NPI 1962583302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA00687
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.

3288 MOANALUA RD, Honolulu, HI 96819

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

Mr. Timothy R. Smith Physician Assistant 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 ID5597845941
PECOS Enrollment IDI20190508001898
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 with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120011
Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County
Emergency services Birthing friendly

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96819 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.

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.

Emergency Medicine
3288 MOANALUA RD
HONOLULU, HI 96819
Nurse Practitioner
3288 MOANALUA RD
HONOLULU, HI 96819
Internal Medicine (Cardiovascular Disease)
3288 MOANALUA RD
HONOLULU, HI 96819
Physical Therapist
3288 MOANALUA RD
HONOLULU, HI 96819
Hospitalist
3288 MOANALUA RD
HONOLULU, HI 96819
Pharmacist
3288 MOANALUA RD
HONOLULU, HI 96819
Nurse Practitioner (Family)
3288 MOANALUA RD
HONOLULU, HI 96819
Physician Assistant (Medical)
3288 MOANALUA RD
HONOLULU, HI 96819

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 Timothy Smith's NPI number?

The NPI number for Timothy Smith is 1962583302. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Timothy Smith located?

Timothy Smith practices at 3288 Moanalua Rd, Honolulu, HI 96819. The listed phone number is (808) 432-0000.

What is Timothy Smith's specialty?

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

Is Timothy Smith enrolled in Medicare?

Yes. Timothy Smith 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 Timothy Smith accept?

Health plans from Kaiser Permanente list Timothy Smith 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 Timothy Smith affiliated with any hospitals?

According to CMS data, Timothy Smith is affiliated with Kaiser Foundation Hospital and Salem Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Smith was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.