HEIDI DENTON DO
NPI 1982086385
Family Medicine in Lahaina, HI

Q: What is Heidi Denton's NPI number?

The NPI number for Heidi Denton is 1982086385. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Q: What is Heidi Denton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heidi Denton was last updated on September 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment

130 PRISON ST, LAHAINA, HI 96761(808) 661-0051(808) 661-5975 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Heidi Denton Do NPPES

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

HEIDI DENTON DO (NPI 1982086385) is an individual family medicine provider in Lahaina, Hawaii, licensed in Hawaii (DOS-2011) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Kansas City College Of Medicine And Surgery (2012).

NPPES Registry Identity

NPI1982086385

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameHEIDI DENTONCredential: DO

Location Address130 PRISON STLahaina, HI 96761-1299

Mailing Address2180 Main StWailuku, HI 96793-1625 · (808) 242-6464

Phone(808) 661-0051

Fax(808) 661-5975

Sole ProprietorNo

Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2012

Enumeration DateJune 22, 2015

Last NPPES UpdateSeptember 11, 2019

✔ NPI 1982086385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in HI · DOS-2011✔ Licensed in CA · 20A14116

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.

130 PRISON ST, Lahaina, HI 96761

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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

Heidi Denton Do 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 ID8123334174

PECOS Enrollment IDI20191013000010

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 4

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.

289 services143 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.

46 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

44 services44 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 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96761 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers13 claims25 services$5.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA L. HESSEL MD

Pediatrics