Active NPI 1972692929 Individual Practitioner Male Practitioner

Dr. Joshua Pierce , MD

Surgery • Hilo, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joshua Pierce, MD is a certified Surgery practicing in Hilo, HI. With approximately 27 years of clinical experience since graduating from Yale University School Of Medicine in 1999, Dr. Pierce delivers high-quality medical care to the local community at 134 PUUHONU WAY APT B.

Dr. Pierce maintains professional affiliations with Kau Hospital, Hilo Benioff Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

134 Puuhonu Way Apt B

Hilo, HI 967202066

Telephone 8089610655

Fax 8089350904

Associated Practice Facility / Clinic

🏢 Hilo Family Health Clinic, Inc. Facility NPI 1861671455

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hilo, HI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +5.3 yrs vs City Avg

City Avg: 21.7 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Hilo, HI (157 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pierce (27 Years) 27 Yrs

Hilo Specialty Average (21.7 Years) 21.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	20	$85.66	$48.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$302.14	$171.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$227.47	$129.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$137.69	$78.33
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$193.55	$16.14
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1853.09	$297.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	23	$88.00	$50.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$233.00	$131.95
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$148.00	$83.80
49650 Repair of groin hernia using an endoscope	14	14	$778.29	$460.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$305.42	$161.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	21	$67.33	$39.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$308.85	$174.27
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$176.15	$102.87
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$170.74	$97.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$125.24	$73.34
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$136.91	$73.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$239.73	$137.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	20	$66.35	$39.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$311.50	$178.72
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$171.63	$98.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$241.60	$133.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$197.00	$110.27
19301 Partial removal of breast	14	14	$1209.00	$677.83
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$180.07	$103.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	52	$205.00	$115.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	26	$72.00	$41.26
99221 Initial hospital inpatient care per day, typically 30 minutes	48	48	$185.00	$106.50
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$141.00	$79.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$306.00	$175.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	17	$132.00	$76.12
47562 Removal of gallbladder using an endoscope	11	11	$1216.00	$698.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	53	53	$183.00	$101.83
99213 Established patient office or other outpatient visit, typically 15 minutes	53	42	$138.00	$79.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$306.00	$166.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	26	$71.00	$38.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$200.49	$115.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$202.00	$114.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	19	$133.00	$74.83
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	13	$801.00	$259.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$305.52	$172.35
99221 Initial hospital inpatient care per day, typically 30 minutes	49	49	$183.00	$103.06
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$138.00	$77.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$202.00	$111.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	18	$71.00	$40.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$202.00	$114.14
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$801.00	$239.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	51	$122.47	$77.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$183.35	$113.88
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$171.67	$103.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	17	$68.64	$40.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$180.59	$113.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	14	$34.00	$22.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$279.33	$171.69
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$775.85	$217.82

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License HI MD12741

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

553330-02 (HI)

Commercial Insurance / Payer ID Hmsa Bcbs

0000247080 (HI)

Hospital & Practice Group Affiliations

Kau Hospital

1285 Waianuenue Ave, Hilo, HI 967201209

Phone: 8084323000

Hilo Benioff Medical Center

1190 Waianuenue Ave, Hilo, HI 967202089

Phone: 8089323000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Daniel Hudak , MD

Surgery

NPI 1003010265

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 11, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2007

Registered at 134 PUUHONU WAY APT B, HILO, HI 967202066 (Tel: 8089610655)

📍

Updated Business Mailing Address December 11, 2007

Registered at 73 PUUHONU PL, HILO, HI 967202060 (Tel: 8089342009)

👤

Provider Name / Credentials Updated December 11, 2007

Recorded as JOSHUA PIERCE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2007

Surgery (License #MD12741 in HI)

🟢

Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972692929

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 11, 2006

Last Update: December 11, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

73 Puuhonu Pl

Hilo, HI 967202060

Phone: 8089342009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.