PETER DEPTULA – Plastic and Reconstructive Surgery Physician, NPI 1932595808
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA
Provider Addresses for PETER DEPTULA
95-1096 AUINA ST
MILILANI, HI 967894823
Phone: (808) 728-9757
Type: Mailing
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-5948
Type: Location
1329 LUSITANA ST STE 207
HONOLULU, HI 968132411
Phone: (808) 686-4600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $14,041.
Total Amount is formed as General ($14,041) + Research ($0) + Ownership ($0) = $14,041.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Arthrex, Inc. ($11,433).
Total Amount
$14,041
General + Research + Ownership
Payments
48
Total payment records
General Amount
$14,041
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $11,433 |
| Musculoskeletal Transplant Foundation Inc. | $878 |
| ABBVIE INC. | $766 |
| Saxum Surgical, Inc. | $169 |
| AXOGEN | $144 |
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: 2023-08-08
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 |
|---|---|---|---|---|
| I20230808002378 | I | Plastic And Reconstructive 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 96789)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| Diagnostic Radiology | MD | |
| Internal Medicine | HI | |
| H O S P I T A L I S T | KY | |
| Nurse Practitioner | HI | |
| Interventional Radiology, Neurosurgery | MD | |
| Family Practice | NY | |
| Internal Medicine | HI | |
| Interventional Cardiology, Internal Medicine | MT | |
| Geriatric Medicine, Internal Medicine | HI |
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