DR. SHEPHARD SPOONER KOSUT (M.D.) – Diagnostic Radiology Physician, NPI 1073586772

DR. SHEPHARD SPOONER KOSUT (M.D.) is a healthcare provider. based in Kailua, Hawaii. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 15269 (HI). The NPI Number for DR. SHEPHARD SPOONER KOSUT (M.D.) is 1073586772

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHEPHARD SPOONER KOSUT (M.D.)
NPI
1073586772
Phone
(808) 888-2849
Address
227 KAHAKO ST
Enumeration Date
12 February 2006
Last Update Date
17 December 2019

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
8099490091
Graduation Year
2002 (24 years ago)
PAC ID
5294815858
Group Practice PAC ID
0547253221
Professional Enrollment ID
I20100719000710
Address ID
HI968177357HO2230XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

185 DIAGNOSTIC RADIOLOGY in HI

Provider Addresses for DR. SHEPHARD SPOONER KOSUT (M.D.)

  • 227, Kahako Street, Enchanted Lake, Kailua, Honolulu County, Hawaii, 96734, United States

    KAILUA, HI 967345905

    Phone: (808) 888-2849

    Type: Mailing

  • 1481 S KING ST STE 202

    HONOLULU, HI 968142692

    Phone: (808) 792-3710

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100719000710IDiagnostic RadiologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml6,44260$0
A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml81457$0
77067Screening mammography363363$0
77063Screening 3d breast mammography341341$0
76700Complete ultrasound scan of abdomen260253$0
View full utilization report →

Insurance plans in this area (ZIP 96734)

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Provider's Procedures

DR. SHEPHARD SPOONER KOSUT (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYHI71250CT scan chest9587

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547253221View full group profile
NameSpecialtyState
Diagnostic RadiologyHI
Diagnostic RadiologyIL
Diagnostic RadiologyHI
-HI
Diagnostic RadiologyVA
Diagnostic RadiologyCA
Diagnostic RadiologyNJ
Internal Medicine, Diagnostic RadiologyHI
Diagnostic RadiologyHI

Reviews

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Frequently asked questions

What is the standard ID for DR. SHEPHARD SPOONER KOSUT (M.D.) in the U.S.?
In the U.S., DR. SHEPHARD SPOONER KOSUT (M.D.) is identified by NPI 1073586772.
Is DR. SHEPHARD SPOONER KOSUT (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. SHEPHARD SPOONER KOSUT (M.D.) as active.
How should patients interpret DR. SHEPHARD SPOONER KOSUT (M.D.)'s specialty?
The extract shows Diagnostic Radiology Physician for DR. SHEPHARD SPOONER KOSUT (M.D.). Clinical services aligned with this taxonomy classification.
Is DR. SHEPHARD SPOONER KOSUT (M.D.) tied to Kailua, Hawaii?
If you are local to Kailua, Hawaii, DR. SHEPHARD SPOONER KOSUT (M.D.) may be relevant to your search.
Who maintains DR. SHEPHARD SPOONER KOSUT (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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