Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356506190 Individual Practitioner Female Practitioner

Keely Egan Kopp , PA-C

Physician Assistant • Wailuku, HI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Keely Kopp, PA-C is a certified Physician Assistant practicing in Wailuku, HI. With approximately 18 years of clinical experience since completing medical education in 2008, Keely Kopp delivers high-quality medical care to the local community at 2180 MAIN ST.

Keely Kopp is affiliated with Maui Medical Group 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2180 Main St

Wailuku, HI 967931625

Telephone 8082426464
Fax 8082424292
Associated Practice Facility / Clinic
🏢 Maui Medical Group Inc Facility NPI 1215963970

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wailuku, HI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +4.8 yrs vs City Avg
City Avg: 13.2 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
36 Specialists

Practicing in Wailuku, HI (389 Statewide)

Telehealth Adoption Rate
27.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kopp (18 Years) 18 Yrs
Wailuku Specialty Average (13.2 Years) 13.2 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
97 59 $159.75 $92.39
99213 Established patient office or other outpatient visit, typically 15 minutes
46 40 $112.95 $68.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
20 20 $160.00 $54.34

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License HI AMD-522

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License ME PA001129

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
433005199 (ME)
Medicaid State Provider ID
30336793 (NH)

Hospital & Practice Group Affiliations

Maui Medical Group Inc

55 Pukalani St, Makawao, HI 967688544

Phone: 8085736200

Maui Medical Group Inc

2180 Main St, Wailuku, HI 967931625

Phone: 8082426464

Practice Associates & Co-Workers

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

40 Associated Practitioners
Arthur Sakakihara - Chavarria , PA-C

Physician Assistant - Medical

NPI 1003050261

Physician Assistant (Certified)

NPI 1003828815

Doctor of Medicine (M.D.)

Monica Stevens , LMT

Massage Therapist

NPI 1013929827

Licensed Massage Therapist

Dr. Lundie Robb , MD

Radiology - Diagnostic Radiology

NPI 1023020914

Doctor of Medicine (M.D.)

Simon Hill , PA-C

Physician Assistant - Surgical

NPI 1023046372

Physician Assistant (Certified)

Dr. Russell Garn , MD

Internal Medicine

NPI 1033134804

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 October 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2013

Registered at 2180 MAIN ST, WAILUKU, HI 967931625 (Tel: 8082426464)

📍
Updated Business Mailing Address October 22, 2013

Registered at 2180 MAIN ST, WAILUKU, HI 967931625 (Tel: 8082426464)

👤
Provider Name / Credentials Updated October 22, 2013

Recorded as KEELY KOPP, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2013

Physician Assistant (License #AMD-522 in HI)

🟢
Initial NPI Registration & Enumeration July 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Keely Kopp. Be the first to share your experience!

Sign in to leave a review for Keely Kopp

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1356506190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2008
Last Update: October 22, 2013
Sole Proprietor: No

Mailing Address

2180 Main St

Wailuku, HI 967931625

Phone: 8082426464

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.