DR. CARMEN M BAYBAYAN (MD) – Internal Medicine Physician, NPI 1851487573

DR. CARMEN M BAYBAYAN (MD) is a healthcare provider. based in Kapolei, Hawaii. specializing in GENERAL PRACTICE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD-8434 (HI). The NPI Number for DR. CARMEN M BAYBAYAN (MD) is 1851487573

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARMEN M BAYBAYAN (MD)
NPI
1851487573
Phone
(808) 672-5176
Address
92-1290 ALAHOI ST
Enumeration Date
4 October 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
7067153105
Graduation Year
1993 (33 years ago)
PAC ID
9537252622
Group Practice PAC ID
9335481951
Professional Enrollment ID
I20070905000753
Address ID
HI968133404HO1001XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

52 GENERAL PRACTICE in HI

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Provider Addresses for DR. CARMEN M BAYBAYAN (MD)

  • 92-1290 ALAHOI ST

    KAPOLEI, HI 967071510

    Phone: (808) 672-5176

    Type: Mailing

  • Farrington Highway, Waianae, Honolulu County, Hawaii, 96792, United States

    WAIANAE, HI 967923128

    Phone: (808) 696-7081

    Fax: (808) 696-7093

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 222 Open Payments records for all available years, with a total value of $5,373.

Total Amount is formed as General ($5,373) + Research ($0) + Ownership ($0) = $5,373.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($938).

Total Amount

$5,373

General + Research + Ownership

Payments

222

Total payment records

General Amount

$5,373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2007-09-05

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
I20070905000753IGeneral 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
99214Established patient office or other outpatient visit, 30-39 minutes12759$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month5815$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3838$0
View full utilization report →

Insurance plans in this area (ZIP 96707)

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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: 9335481951View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineHI
Internal MedicineGA
Internal MedicineGA
Internal MedicineGA
Family PracticeGA
Rheumatology, Geriatric MedicineNJ
Family PracticeGA
Nephrology, Internal MedicineTX
Internal MedicineNJ
Cardiovascular Disease (Cardiology), Internal MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to DR. CARMEN M BAYBAYAN (MD)?
The federal identifier for DR. CARMEN M BAYBAYAN (MD) is NPI 1851487573.
Is DR. CARMEN M BAYBAYAN (MD) active in the national directory?
DR. CARMEN M BAYBAYAN (MD)'s public NPI profile is in an active state.
What does DR. CARMEN M BAYBAYAN (MD) treat or focus on?
Patients typically see DR. CARMEN M BAYBAYAN (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CARMEN M BAYBAYAN (MD)?
The page summarizes Kapolei, Hawaii for DR. CARMEN M BAYBAYAN (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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