Pacific Endoscopy Center, LLC
NPI 1841316841 · Ambulatory Surgical Clinic/Center · Pearl City, 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 Pearl City, HI (NPI 1841316841).
Provider details
- NPI number
- 1841316841
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Boon, Authorized Official(480) 567-0269
- License
- OHCA FSOF 15 (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
19 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
1,324 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 | 438 | $683 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 368 | $546 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 286 | $351 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 97 | $529 |
| Microscopic Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43252 | 33 | $945 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High Risk |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2025-01-12
- Certified
- 2025-01-12
Frequently asked questions
- What is Pacific Endoscopy Center, LLC's NPI number?
- Pacific Endoscopy Center, LLC's National Provider Identifier (NPI) is 1841316841, 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 1029 Makolu Street, Pearl City, HI 96782-2890.
- 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) 456-6420.
- 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, Authorized Official. 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 (1841316841) is active in the NPPES registry as of the last update on 2025-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.