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Active NPI 1356341002 Individual Practitioner Male Practitioner

Dr. Russell G Tacata , MD

General Practice • Honolulu, HI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Russell Tacata, MD is a certified General Practice practicing in Honolulu, HI. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Tacata delivers high-quality medical care to the local community at 1619 LILIHA STREET.

Dr. Tacata accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1619 Liliha Street
#3

Honolulu, HI 968173152

Telephone 8085315454
Fax 8085315451
Associated Practice Facility / Clinic
🏢 Russell G Tacata Md Facility NPI 1831872126

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Honolulu, HI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs +10.4 yrs vs City Avg
City Avg: 33.6 Yrs
State Avg: 31.3 Yrs
Regional Practice Density
35 Specialists

Practicing in Honolulu, HI (183 Statewide)

Telehealth Adoption Rate
11.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tacata (44 Years) 44 Yrs
Honolulu Specialty Average (33.6 Years) 33.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes
133 47 $178.27 $84.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
83 51 $190.60 $122.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
27 27 $198.52 $124.59

Medical Specialties & State Licenses

CMS Verified: 2023-08-03
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License HI 9570

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
07892401 (HI)
Commercial Insurance / Payer ID Hmsa
020779-5

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2014

Registered at 1619 LILIHA STREET, #3, HONOLULU, HI 968173152 (Tel: 8085315454)

📍
Updated Business Mailing Address January 30, 2014

Registered at 1619 LILIHA STREET, #3, HONOLULU, HI 968173152 (Tel: 8085315454)

👤
Provider Name / Credentials Updated January 30, 2014

Recorded as RUSSELL TACATA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2014

General Practice (License #9570 in HI)

🟢
Initial NPI Registration & Enumeration July 22, 2005

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: 1356341002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2005
Last Update: August 03, 2023
Sole Proprietor: No

Mailing Address

1619 Liliha Street, #3

Honolulu, HI 968173152

Phone: 8085315454

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.