MICHAEL PAMPALON (DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1902049174

MICHAEL PAMPALON (DMD) is a healthcare provider. based in Kailua kona, Hawaii. specializing in MAXILLOFACIAL SURGERY. They hold the professional credentials DMD. They hold a License No. DT 2382 (HI). The NPI Number for MICHAEL PAMPALON (DMD) is 1902049174

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL PAMPALON (DMD)
NPI
1902049174
Phone
(808) 329-0025
Address
75-1028 HENRY ST
Enumeration Date
16 April 2009
Last Update Date
5 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8089733747
Graduation Year
2009 (17 years ago)
PAC ID
7810217411
Group Practice PAC ID
7012073018
Professional Enrollment ID
I20181001002109
Address ID
HI968143216HO1580XSTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8 MAXILLOFACIAL SURGERY in HI

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Provider Addresses for MICHAEL PAMPALON (DMD)

  • Crossroads Medical Center, 75-1028, Henry Street, Hillcrest, Kailua-Kona, Hawaiʻi County, Hawaii, 96740, United States

    #102

    KAILUA KONA, HI 967401693

    Phone: (808) 329-0025

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $811.

Total Amount is formed as General ($811) + Research ($0) + Ownership ($0) = $811.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Nobel Biocare USA ($545).

Total Amount

$811

General + Research + Ownership

Payments

11

Total payment records

General Amount

$811

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2018-10-01

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
I20181001002109IMaxillofacial SurgeryHITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96740)

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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: 7012073018View full group profile
NameSpecialtyState
Oral SurgeryWA
Oral SurgeryHI
Oral SurgeryHI
Oral Surgery, Maxillofacial SurgeryHI

Reviews

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Frequently asked questions

What is the registry number for MICHAEL PAMPALON (DMD)?
The registry entry for MICHAEL PAMPALON (DMD) shows NPI 1902049174.
Quick check: is MICHAEL PAMPALON (DMD) active?
Public NPPES data shows MICHAEL PAMPALON (DMD) with an active NPI status right now.
What type of care does MICHAEL PAMPALON (DMD) provide?
MICHAEL PAMPALON (DMD)'s profile centers on Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL PAMPALON (DMD)?
MICHAEL PAMPALON (DMD) is associated with Kailua Kona, Hawaii in the same public data insurers reference.
Can I export MICHAEL PAMPALON (DMD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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