DR. DIANE COULTER (M.D.) – Urgent Care Clinic/Center, NPI 1154767069

DR. DIANE COULTER (M.D.) is a healthcare provider. based in Lahaina, Hawaii. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD14101 (HI). The NPI Number for DR. DIANE COULTER (M.D.) is 1154767069

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIANE COULTER (M.D.)
NPI
1154767069
Phone
(808) 667-9721
Address
2580 Kekaa Dr
Enumeration Date
17 May 2013
Last Update Date
1 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8086676161
Graduation Year
1992 (34 years ago)
PAC ID
0840513115
Group Practice PAC ID
3779877485
Professional Enrollment ID
I20171201002867
Address ID
HI967322986KA270XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

514 FAMILY PRACTICE in HI

Provider Addresses for DR. DIANE COULTER (M.D.)

  • 2580 Kekaa Dr

    E 1

    Lahaina, HI 967612908

    Phone: (808) 667-9721

    Type: Location

  • 270 DAIRY RD STE 239

    KAHULUI, HI 967322986

    Phone: (808) 667-6161

    Fax: (877) 664-0133

    Type: Mailing

  • 1325 S KIHEI RD STE 103

    KIHEI, HI 967538145

    Phone: (808) 667-6161

    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: 2017-12-01

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
I20171201002867IFamily PracticeHITBD

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
99203New patient office or other outpatient visit, 30-44 minutes3535$0
99214Established patient office or other outpatient visit, 30-39 minutes3434$0
99213Established patient office or other outpatient visit, 20-29 minutes1715$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1616$0
96372Injection of drug or substance under skin or into muscle1312$0
View full utilization report →

Insurance plans in this area (ZIP 96761)

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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: 3779877485View full group profile
NameSpecialtyState
Nurse PractitionerHI
Nurse PractitionerUT
Nurse PractitionerHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Emergency Medicine, Family PracticeUT
Nurse PractitionerHI
Physician AssistantOR
Nurse PractitionerHI
Physician AssistantMO

Reviews

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Frequently asked questions

How is DR. DIANE COULTER (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. DIANE COULTER (M.D.) with NPI 1154767069.
Can I rely on DR. DIANE COULTER (M.D.) being an active provider?
As of the registry snapshot, DR. DIANE COULTER (M.D.) is marked active.
What is DR. DIANE COULTER (M.D.)'s specialty?
The listing groups DR. DIANE COULTER (M.D.) with Urgent Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DIANE COULTER (M.D.)?
DR. DIANE COULTER (M.D.)'s geographic hint is Lahaina, Hawaii in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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