Preliminary ASM Participants
5 clinicians in Hawaii
Identified for mandatory Ambulatory Specialty Model participation starting January 2027—0.1% of all 6,637 participants nationally. 80% are in small practices.
Learn about ASMOur Take
On the list? Plan as if you're in—review your episode cost data and begin building collaborative care arrangements. Not on the list? If you practice in a mandatory geographic area, you may still appear on the final list (expected mid-2026).
Largest organizations in Hawaii
Top 5 by participant count
| Organization | Participants |
|---|---|
| MAUI CARDIOLOGY LTD | 1 |
| RYAN M SMITH DO INC | 1 |
| OHANA HEART LLC | 1 |
| MAUI MEDICAL GROUP INC | 1 |
| JOEL E ULLOTH MD INC | 1 |
Full participant list
5 clinicians · Preliminary list · February 2026
| Name | NPI | Cohort | Organization | Small Practice |
|---|---|---|---|---|
| Janet Lee | 1386063634 | Low Back Pain | MAUI MEDICAL GROUP INC | — |
| Amanda Marn | 1790006286 | Heart Failure | RYAN M SMITH DO INC | ✓ |
| James Muto | 1134222151 | Heart Failure | MAUI CARDIOLOGY LTD | ✓ |
| Anil Punjabi | 1821387853 | Heart Failure | OHANA HEART LLC | ✓ |
| Joel Ulloth | 1932159886 | Low Back Pain | JOEL E ULLOTH MD INC | ✓ |
Prepare for ASM
Guides and analysis for Hawaii clinicians
ASM Preparation Checklist
Actionable steps for cost, quality, and coordination
ASM for Cardiologists
Heart failure cohort scoring and measures
ASM for Spine & Pain Specialists
Low back pain cohort scoring and measures
Source: CMS CY2027 Preliminary ASM Participant List (February 2026). Preliminary list based on available claims data. Final determinations expected mid-2026. Inclusion does not guarantee final participation; absence does not confirm exclusion.