Carmen Baybayan, MD
NPI 1851487573 · Internal Medicine Physician · Waianae, HI
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carmen Baybayan, MD is a Internal Medicine Physician provider in Waianae, HI (NPI 1851487573).
Provider details
- NPI number
- 1851487573
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD-8434 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
342 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 151 | $64 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 140 | $133 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 51 | $134 |
Typical Medicare-allowed amounts for these services range $64–$134 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 63 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 290 | 78 |
| Rosuvastatin Calcium | 182 | 54 |
| Metformin Hclbrand: Metformin Hcl Er | 138 | 34 |
| Semaglutidebrand: Ozempic | 122 | 20 |
| Amlodipine Besylate | 108 | 29 |
| Losartan Potassium | 106 | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,373 across 132 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2025-09-11
Frequently asked questions
- What is Carmen Baybayan's NPI number?
- Carmen Baybayan's National Provider Identifier (NPI) is 1851487573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmen Baybayan's specialty?
- Carmen Baybayan is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carmen Baybayan located?
- Carmen Baybayan's practice location on file with NPPES is 86-260 Farrington Hwy, Waianae, HI 96792-3128.
- What is Carmen Baybayan's phone number?
- The practice phone number listed in the NPPES registry for Carmen Baybayan is (808) 696-7081.
- Does Carmen Baybayan accept Medicare?
- Carmen Baybayan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carmen Baybayan's NPI active?
- Yes — Carmen Baybayan's NPI (1851487573) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.