GRETA M IVERS (M.D.) – Family Medicine Physician, NPI 1104911189

GRETA M IVERS (M.D.) is a healthcare provider. based in Naalehu, Hawaii. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD-18354 (HI). The NPI Number for GRETA M IVERS (M.D.) is 1104911189

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
GRETA M IVERS (M.D.)
NPI
1104911189
Phone
(808) 238-2125
Address
PO BOX 833
Enumeration Date
4 October 2006
Last Update Date
2 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7196572418
Graduation Year
1993 (33 years ago)
PAC ID
0143214056
Group Practice PAC ID
7517951536
Professional Enrollment ID
I20230621003048
Address ID
CO811328759DE310XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

514 FAMILY PRACTICE in HI

Provider Addresses for GRETA M IVERS (M.D.)

  • PO BOX 833

    NAALEHU, HI 967720833

    Phone: (808) 238-2125

    Type: Mailing

  • 224 Haili Street

    Bay Clinic Inc

    Hilo, HI 967200000

    Phone: (808) 961-4071

    Type: Location

  • Haili Street, Downtown Hilo, Pu‘u‘eo, Hilo, Hawaiʻi County, Hawaii, 96720, United States

    BAY CLINIC INC

    HILO, HI 967200000

    Phone: (808) 961-4071

    Type: Location

  • 75-5751 KUAKINI HWY STE 101A

    KAILUA KONA, HI 967401705

    Phone: (808) 326-5629

    Type: Location

  • 75-5751 KUAKINI HWY STE 203

    KAILUA KONA, HI 967401753

    Phone: (808) 326-5629

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-21

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
I20230621003048IFamily PracticeCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 96772)

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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: 7517951536View full group profile
NameSpecialtyState
Family PracticeCO
Nurse PractitionerCO
Family Practice, Obstetrics/GynecologyCO
-CO
Family PracticeCO
Family PracticeCO
A N E S T H E S I O L O G YCO
Nurse PractitionerCO
Nurse PractitionerCO
Family PracticeCO

Reviews

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Frequently asked questions

Is GRETA M IVERS (M.D.) listed with a National Provider Identifier?
Yes — GRETA M IVERS (M.D.) has NPI 1104911189 on file in the registry.
Active or inactive — what applies to GRETA M IVERS (M.D.)?
You should see GRETA M IVERS (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to GRETA M IVERS (M.D.)?
GRETA M IVERS (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GRETA M IVERS (M.D.)?
Directory geography for GRETA M IVERS (M.D.) centers on Naalehu, Hawaii.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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