DR. HOLLY MARIE POAG (D.O.) – Emergency Medicine Physician, NPI 1376755330

DR. HOLLY MARIE POAG (D.O.) is a healthcare provider. based in Waimea, Hawaii. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101016537 (MI). The NPI Number for DR. HOLLY MARIE POAG (D.O.) is 1376755330

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOLLY MARIE POAG (D.O.)
NPI
1376755330
Phone
(808) 240-2723
Address
PO BOX 669
Enumeration Date
4 May 2007
Last Update Date
11 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8087420999
Graduation Year
2005 (21 years ago)
PAC ID
6507940442
Group Practice PAC ID
1759271216
Professional Enrollment ID
I20170830002995
Address ID
HI967567549KO2829XSTXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

257 EMERGENCY MEDICINE in HI

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Provider Addresses for DR. HOLLY MARIE POAG (D.O.)

  • PO BOX 669

    ATTEN: RHONELLE C ACERET

    WAIMEA, HI 967960669

    Phone: (808) 240-2723

    Fax: (808) 338-9420

    Type: Mailing

  • Ala Kalanikaumaka, Koloa, Kauaʻi County, Hawaii, 96756, United States

    STE.B201

    KOLOA, HI 96756

    Phone: (808) 742-0999

    Fax: (808) 742-0990

    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: 2017-08-30

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
I20170830002995IEmergency MedicineHITBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg10111$0
99285Emergency department visit with high level of medical decision making4645$0
99284Emergency department visit with moderate level of medical decision making2625$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2121$0
99203New patient office or other outpatient visit, 30-44 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 96796)

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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: 1759271216View full group profile
NameSpecialtyState
Pediatric MedicineHI
Family PracticeHI
General SurgeryAZ
Internal MedicineHI
Diagnostic RadiologyOR
Physician AssistantCA
Nurse PractitionerHI
P O D I A T R YOK
Nurse PractitionerOH
Internal Medicine, GastroenterologyWA

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Frequently asked questions

What number should I use to identify DR. HOLLY MARIE POAG (D.O.) for billing?
Administrative and clinical systems typically use NPI 1376755330 for DR. HOLLY MARIE POAG (D.O.).
Does the public listing show DR. HOLLY MARIE POAG (D.O.) as active?
DR. HOLLY MARIE POAG (D.O.)'s NPI record reflects an active status in NPPES.
What type of care does DR. HOLLY MARIE POAG (D.O.) provide?
DR. HOLLY MARIE POAG (D.O.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. HOLLY MARIE POAG (D.O.) in Waimea, Hawaii?
For routing, start with Waimea, Hawaii for DR. HOLLY MARIE POAG (D.O.), then verify phone and hours locally.
Who maintains DR. HOLLY MARIE POAG (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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