DR. JAMES MASATAKA MICHINO (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1730494931
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10 ORAL SURGERY in HI
Provider Addresses for DR. JAMES MASATAKA MICHINO (D.M.D.)
1580 Makaloa St Ste 940
Honolulu, HI 968143220
Phone: (808) 342-5920
Type: Location
1580 MAKALOA STREET
SUITE 725
HONOLULU, HI 968143216
Phone: (808) 973-3747
Fax: (808) 973-3757
Type: Mailing
930 VALKENBURGH ST SPC 206
HONOLULU, HI 968183914
Phone: (808) 342-5920
Type: Location
1580 Makaloa Street
Suite 725
Honolulu, HI 968146216
Phone: (808) 973-3747
Fax: (808) 973-3757
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $3,596.
Total Amount is formed as General ($3,596) + Research ($0) + Ownership ($0) = $3,596.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Midmark Corporation ($1,874).
Total Amount
$3,596
General + Research + Ownership
Payments
34
Total payment records
General Amount
$3,596
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Midmark Corporation | $1,874 |
| Nobel Biocare USA | $1,566 |
| Zest Holdings, LLC | $62 |
| PATTERSON COMPANIES, INC. | $55 |
| Geistlich Pharma, North America, Inc. | $40 |
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: 2019-01-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190131003359 | I | Oral Surgery | HI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | WA | |
| Oral Surgery | HI | |
| Maxillofacial Surgery | HI | |
| Oral Surgery, Maxillofacial Surgery | HI |
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