Active NPI 1851323471 Individual Practitioner Male Practitioner

Dr. Dean T Sato , MD

Surgery - Vascular Surgery • Honolulu, HI

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Dean Sato, MD is a registered Surgery - Vascular Surgery practitioner in Honolulu, HI. With approximately 36 years of clinical practice since graduating from University Of Hawaii John A. Burns School Of Medicine in 1990, Dr. Sato provides healthcare services at the registered practice location at 550 S BERETANIA ST STE 505.

Dr. Sato is affiliated with Hawaii Vascular And Endovascular Inc and 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, ultrasound of dialysis access, ultrasound of one leg arteries or artery grafts. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

550 S Beretania St Ste 505

Honolulu, HI 968132496

Telephone 8084400544

Associated Practice Facility / Clinic

🏢 Hawaii Vascular And Endovascular Inc Facility NPI 1679505085

Medicare Profile & Education

Medical School

University Of Hawaii John A. Burns School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Honolulu, HI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +8.2 yrs vs City Avg

City Avg: 27.8 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

15 Specialists

Practicing in Honolulu, HI (26 Statewide)

Telehealth Adoption Rate

53.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sato (36 Years) 36 Yrs

Honolulu Specialty Average (27.8 Years) 27.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	449	220	$290.61	$122.06
99213 Established patient office or other outpatient visit, typically 15 minutes	421	223	$205.29	$85.92
93990 Ultrasound of dialysis access	301	153	$322.96	$129.36
93926 Ultrasound of one leg arteries or artery grafts	147	108	$273.47	$130.56
93880 Ultrasound of both sides of head and neck blood flow	129	120	$431.06	$192.03
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	117	98	$436.13	$182.65
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	87	74	$279.71	$93.86
93923 Complete ultrasound study of arm and leg arteries	78	72	$383.35	$131.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$373.74	$154.92
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	50	33	$523.56	$190.46
76937 Ultrasonic guidance for blood vessel access	23	16	$80.96	$12.38
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	13	11	$870.55	$168.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$404.10	$172.97
36140 Insertion of needle or catheter into an artery of arm or leg	11	11	$277.47	$38.05

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	482	233	$290.61	$130.32
99213 Established patient office or other outpatient visit, typically 15 minutes	436	237	$205.29	$89.72
93990 Ultrasound of dialysis access	324	165	$322.96	$137.63
93880 Ultrasound of both sides of head and neck blood flow	115	103	$431.06	$203.71
93926 Ultrasound of one leg arteries or artery grafts	114	83	$273.47	$140.41
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	110	91	$436.13	$199.76
93923 Complete ultrasound study of arm and leg arteries	95	92	$383.35	$139.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	79	68	$279.71	$127.96
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	55	38	$523.56	$212.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$373.87	$169.67
76937 Ultrasonic guidance for blood vessel access	34	31	$80.96	$12.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	15	$404.10	$181.07
36140 Insertion of needle or catheter into an artery of arm or leg	14	12	$277.47	$42.40
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	12	11	$240.49	$80.64
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	12	11	$870.55	$142.85

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	561	267	$290.61	$134.11
99213 Established patient office or other outpatient visit, typically 15 minutes	377	216	$205.62	$93.75
93990 Ultrasound of dialysis access	359	188	$322.96	$145.50
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	143	108	$436.13	$206.13
93880 Ultrasound of both sides of head and neck blood flow	124	115	$431.06	$218.62
93926 Ultrasound of one leg arteries or artery grafts	102	82	$273.47	$144.13
93923 Complete ultrasound study of arm and leg arteries	93	89	$383.35	$141.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$373.62	$170.89
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	76	72	$279.71	$135.73
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	60	36	$523.56	$227.04
76937 Ultrasonic guidance for blood vessel access	28	23	$80.96	$13.53
36140 Insertion of needle or catheter into an artery of arm or leg	23	18	$277.47	$44.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	15	$404.10	$190.90
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	18	16	$870.55	$165.27
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	16	13	$118.30	$79.09
36821 Relocation of arm vein with connection to arm artery, open procedure	14	14	$1522.45	$617.19
93925 Ultrasound of leg arteries or artery grafts	12	11	$427.66	$280.44
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$439.08	$216.62

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	479	227	$287.80	$135.75
99213 Established patient office or other outpatient visit, typically 15 minutes	410	239	$203.11	$93.59
93990 Ultrasound of dialysis access	407	205	$322.96	$140.50
93880 Ultrasound of both sides of head and neck blood flow	135	123	$431.06	$224.58
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	134	97	$436.13	$213.90
93926 Ultrasound of one leg arteries or artery grafts	96	73	$273.47	$143.55
93923 Complete ultrasound study of arm and leg arteries	89	80	$383.35	$146.74
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	69	43	$523.56	$224.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$373.15	$166.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	11	$82.18	$39.53
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	61	60	$279.71	$139.41
76937 Ultrasonic guidance for blood vessel access	28	25	$80.96	$13.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	21	$404.10	$192.96
93925 Ultrasound of leg arteries or artery grafts	22	20	$427.66	$272.22
36140 Insertion of needle or catheter into an artery of arm or leg	21	16	$277.47	$43.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$420.42	$206.44
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	17	12	$175.80	$81.91
93970 Ultrasound study of arm or leg veins with compression and maneuvers	17	16	$439.08	$217.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$285.86	$131.33
36821 Relocation of arm vein with connection to arm artery, open procedure	13	13	$1522.45	$624.49

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	619	291	$234.58	$108.75
93990 Ultrasound of dialysis access	495	243	$322.96	$140.38
99213 Established patient office or other outpatient visit, typically 15 minutes	450	229	$159.60	$73.13
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	137	94	$436.13	$201.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	129	25	$82.18	$38.29
93880 Ultrasound of both sides of head and neck blood flow	121	113	$431.06	$215.02
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	108	59	$523.56	$196.43
93926 Ultrasound of one leg arteries or artery grafts	83	62	$273.47	$143.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	17	$150.79	$72.12
93923 Complete ultrasound study of arm and leg arteries	78	73	$383.35	$136.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$355.01	$165.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	57	53	$279.71	$130.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	34	$310.39	$149.38
93925 Ultrasound of leg arteries or artery grafts	28	27	$427.66	$261.35
76937 Ultrasonic guidance for blood vessel access	26	21	$80.96	$11.46
36140 Insertion of needle or catheter into an artery of arm or leg	24	23	$277.47	$44.12
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	20	19	$118.30	$84.66
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	15	14	$870.55	$149.34
75630 Review by radiologist of abdominal aorta and both leg arteries image	15	14	$187.71	$96.22
36589 Removal of central venous catheter for infusion	14	14	$371.02	$154.01
36831 Removal of blood clot from dialysis graft, open procedure	13	12	$1008.42	$594.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$420.42	$190.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$443.41	$210.64
36821 Relocation of arm vein with connection to arm artery, open procedure	11	11	$1522.45	$573.28

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	688	315	$232.02	$106.08
93990 Ultrasound of dialysis access	528	259	$322.96	$141.47
99213 Established patient office or other outpatient visit, typically 15 minutes	518	272	$157.57	$72.00
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	155	111	$436.13	$200.56
93880 Ultrasound of both sides of head and neck blood flow	136	125	$431.06	$216.69
93926 Ultrasound of one leg arteries or artery grafts	126	92	$273.47	$138.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$354.16	$156.36
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	96	59	$523.56	$197.43
93923 Complete ultrasound study of arm and leg arteries	83	75	$383.35	$137.49
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	76	68	$279.71	$127.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	57	$312.76	$141.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	20	$82.18	$38.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	19	$150.79	$70.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$438.51	$204.43
36140 Insertion of needle or catheter into an artery of arm or leg	48	37	$277.47	$41.69
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	44	33	$118.30	$76.56
93925 Ultrasound of leg arteries or artery grafts	40	38	$427.66	$270.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	23	$96.27	$39.59
75630 Review by radiologist of abdominal aorta and both leg arteries image	29	23	$187.71	$75.15
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	27	21	$870.55	$129.41
76937 Ultrasonic guidance for blood vessel access	27	21	$80.96	$11.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$420.42	$184.31
37226 Insertion of stent in arteries of leg	21	20	$4079.79	$385.45
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	19	17	$557.47	$287.68
93970 Ultrasound study of arm or leg veins with compression and maneuvers	16	15	$439.08	$194.72
36248 Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond	14	12	$370.37	$45.52
75625 Radiological supervision and interpretation X-ray of abdominal aorta	14	13	$119.98	$53.93
36589 Removal of central venous catheter for infusion	12	12	$371.02	$129.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	685	373	$157.52	$69.14
93990 Ultrasound of dialysis access	539	260	$322.96	$141.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	229	$232.02	$102.97
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	174	123	$436.13	$199.28
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	120	68	$523.56	$196.06
93926 Ultrasound of one leg arteries or artery grafts	120	90	$273.47	$143.24
93880 Ultrasound of both sides of head and neck blood flow	116	107	$431.06	$210.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	15	$82.18	$34.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	55	$96.27	$40.70
93923 Complete ultrasound study of arm and leg arteries	70	67	$383.35	$139.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$354.16	$154.47
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	62	58	$279.71	$117.52
36140 Insertion of needle or catheter into an artery of arm or leg	41	30	$277.47	$43.11
76937 Ultrasonic guidance for blood vessel access	37	30	$80.96	$12.47
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	33	26	$118.30	$81.58
93925 Ultrasound of leg arteries or artery grafts	30	30	$427.66	$266.80
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	28	23	$1868.21	$202.91
75630 Review by radiologist of abdominal aorta and both leg arteries image	23	17	$187.71	$80.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$438.51	$203.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	16	$310.39	$136.88
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	18	16	$557.47	$302.38
36800 Insertion of tube connecting vein to vein for hemodialysis	18	16	$360.33	$80.94
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	17	12	$870.55	$153.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$413.64	$176.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$234.07	$101.42
36821 Relocation of arm vein with connection to arm artery, open procedure	16	16	$1522.45	$519.90
37226 Insertion of stent in arteries of leg	15	12	$4079.79	$431.39
75625 Radiological supervision and interpretation X-ray of abdominal aorta	14	13	$119.98	$49.35
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$439.08	$206.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$285.86	$105.68
93931 Ultrasound of one arm arteries or artery grafts	13	13	$265.11	$122.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	780	390	$157.36	$67.81
93990 Ultrasound of dialysis access	513	252	$322.96	$139.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	229	$232.02	$99.80
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	157	114	$436.13	$196.29
93880 Ultrasound of both sides of head and neck blood flow	126	115	$431.06	$209.41
93926 Ultrasound of one leg arteries or artery grafts	118	86	$273.47	$141.06
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	100	60	$3150.22	$170.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	69	$96.27	$39.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$354.16	$157.60
93923 Complete ultrasound study of arm and leg arteries	82	75	$383.35	$138.39
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	81	74	$279.71	$116.10
36200 Insertion of catheter into aorta	39	37	$414.48	$62.87
93925 Ultrasound of leg arteries or artery grafts	35	33	$427.66	$253.00
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	32	28	$557.47	$296.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	21	$316.73	$137.64
36140 Insertion of needle or catheter into an artery of arm or leg	25	23	$277.47	$39.70
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	24	22	$118.30	$49.52
93970 Ultrasound study of arm or leg veins with compression and maneuvers	23	23	$439.08	$208.24
28825 Amputation of toe at toe joint	22	11	$1039.40	$272.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$438.51	$201.18
36589 Removal of central venous catheter for infusion	21	20	$371.02	$129.29
36821 Relocation of arm vein with connection to arm artery, open procedure	19	16	$1522.45	$554.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$234.07	$106.49
75630 Review by radiologist of abdominal aorta and both leg arteries image	16	16	$187.71	$75.18
36800 Insertion of tube connecting vein to vein for hemodialysis	16	13	$360.33	$76.41
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	13	$1868.21	$190.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$420.42	$182.41
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	13	13	$870.55	$125.38
37226 Insertion of stent in arteries of leg	12	11	$4079.79	$399.35
75952 Radiological supervision and interpretation of repair of artery of abdomen procedure	11	11	$483.90	$206.22
93931 Ultrasound of one arm arteries or artery grafts	11	11	$265.11	$121.84

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License HI 8083

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Hawaii Vascular And Endovascular Inc

550 S Beretania St, Honolulu, HI 968132496

Phone: 8084400544

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. David Wong , MD

Surgery - Vascular Surgery

NPI 1184829558

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 April 20, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 20, 2009

Registered at 550 S BERETANIA ST STE 505, HONOLULU, HI 968132496 (Tel: 8084400544)

📍

Updated Business Mailing Address April 20, 2009

Registered at PO BOX 25370, HONOLULU, HI 968250370 (Tel: 8085360314)

👤

Provider Name / Credentials Updated April 20, 2009

Recorded as DEAN SATO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2009

Surgery (License #8083 in HI)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1851323471

Entity Type:

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

Enumeration Date: July 06, 2006

Last Update: April 20, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 25370

Honolulu, HI 968250370

Phone: 8085360314

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

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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.