2026 NPPES data Specialist NPI 1811943236 M.D.
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MARK HIRAOKA, M.D.

Specialist in HONOLULU, Hawaii. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
85.7841/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$88.51
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARK HIRAOKA, M.D. is a Specialist ([object Object]) practicing in HONOLULU, Hawaii . Their CMS MIPS Final Score of 85.7841/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $88.51 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARK HIRAOKA, M.D. reported a CMS MIPS final score of 85.7841 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MARK HIRAOKA, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/26/2006

NPI 1811943236

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

MIPS final score

85.7841/100 2.684100000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Hawaii

How Specialist compares to other specialties among Hawaii providers

Hawaii providers

Specialist share within Hawaii

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Hawaii

Medicare quality performance — MIPS

MARK HIRAOKA, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
85.7841/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 85.7841/100 vs national avg 83.1

0%100%National avg83%85.8%
MIPS final score (Specialist) — 85.7841/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MARK HIRAOKA, M.D. is a Specialist provider practicing in HONOLULU, Hawaii, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1811943236. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARK HIRAOKA, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1319 PUNAHOU ST, 8TH FLOOR, HONOLULU, HI, 96826, with a listed phone of (808) 203-6588. NPI 1811943236 was issued on 05/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIRAOKA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Specialist providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.7841/100 for the 2023 performance year (Quality 82.9618, Cost 69.652), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1319 PUNAHOU ST, 8TH FLOOR
HONOLULU, HI 96826

Provider Details

NPI 1811943236
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 05/26/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

85.7841
Final Score
Avg: 83.1
82.9618
Quality
69.652
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK HIRAOKA, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

KAPIOLANI MEDICAL SPECIALISTS
HONOLULU, HI
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD INCORPORATED
WAIPAHU, HI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MARK HIRAOKA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$89

Largest payer

GE HEALTHCARE

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Specialist Overview

How MARK HIRAOKA, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Nearby Specialist Providers in Hawaii

Other clinicians with the same primary specialty enrolled in Hawaii, drawn from the same CMS NPPES roster as HIRAOKA.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK HIRAOKA, M.D.'s specialty?
MARK HIRAOKA, M.D. specializes in Specialist and practices in HONOLULU, Hawaii. Credentials: M.D..
What is MARK HIRAOKA, M.D.'s Medicare quality score?
MARK HIRAOKA, M.D. has a CMS MIPS Final Score of 85.7841/100 (Quality: 82.9618, Cost: 69.652). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK HIRAOKA, M.D. located?
MARK HIRAOKA, M.D. is located at 1319 PUNAHOU ST, 8TH FLOOR, HONOLULU, HI, 96826. Phone: (808) 203-6588.
What is MARK HIRAOKA, M.D.'s NPI number?
MARK HIRAOKA, M.D.'s National Provider Identifier (NPI) is 1811943236, issued on 05/26/2006.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
Does MARK HIRAOKA, M.D. accept Medicare?
MARK HIRAOKA, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK HIRAOKA, M.D.'s credentials?
MARK HIRAOKA, M.D.'s NPI is 1811943236 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology