Pacific Endoscopy Center LLC
NPI 1417377649 · Ambulatory Surgical Clinic/Center · Hilo, HI
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Endoscopy Center LLC is a Ambulatory Surgical Clinic/Center organization in Hilo, HI (NPI 1417377649).
Provider details
- NPI number
- 1417377649
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Boon, Officer/Ao(480) 567-0269
- License
- FSOF-9 (HI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
593 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 312 | $640 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 81 | $399 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 66 | $490 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 53 | $477 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 53 | $500 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-28
- Last updated
- 2024-11-10
- Certified
- 2024-11-10
Frequently asked questions
- What is Pacific Endoscopy Center LLC's NPI number?
- Pacific Endoscopy Center LLC's National Provider Identifier (NPI) is 1417377649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Endoscopy Center LLC?
- Pacific Endoscopy Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pacific Endoscopy Center LLC located?
- Pacific Endoscopy Center LLC's practice location on file with NPPES is 134 Puuhonu Way, Hilo, HI 96720-2066.
- What is Pacific Endoscopy Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Pacific Endoscopy Center LLC is (808) 969-3979.
- Does Pacific Endoscopy Center LLC accept Medicare?
- Pacific Endoscopy Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Endoscopy Center LLC?
- The authorized official listed on Pacific Endoscopy Center LLC's NPPES record is Eric Boon, Officer/Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Endoscopy Center LLC's NPI active?
- Yes — Pacific Endoscopy Center LLC's NPI (1417377649) is active in the NPPES registry as of the last update on 2024-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.