What entity type do Neurological Surgery private practices in Hawaii use?

Most Neurological Surgery private practices in Hawaii are structured as PC, PLLC entities. The choice depends on state law, tax strategy, and liability preferences. A healthcare attorney can advise on the right structure.

What is a physician-owned Neurological Surgery practice?

A physician-owned Neurological Surgery practice is one where licensed physicians hold controlling ownership. This distinguishes it from hospital-employed positions, corporate medical groups, or practices backed by private equity, where non-physician entities own or control the business.

What does NPPES Verified mean?

NPPES stands for the National Plan and Provider Enumeration System, a federal database maintained by CMS. Every practice in this directory has an active NPI (National Provider Identifier) record in NPPES, which confirms it is a registered medical practice in the United States.

How do I join a Neurological Surgery private practice in Hawaii?

Start by contacting the practice directly using the website or phone number listed in this directory. Before negotiating any offer, have a physician contract attorney licensed in Hawaii review the employment agreement, particularly non-compete clauses, compensation structure, and buy-in terms for partnership-track positions.

Neurological Surgery Private Practices in Hawaii (5 Verified Groups) | Daniel Aragón

There are 5 physician-owned neurological surgery practices in Hawaii, vetted against the NPPES NPI Registry. Hospital-employed, government, and academic positions are excluded.

Where neurological surgery stays physician-owned.

Neurological Surgery Practice Directory: Hawaii

Q: What does the Corporate-Acquired or MSO-Affiliated flag mean?

The Corporate-Acquired flag indicates the practice was historically physician-owned but has since been acquired by a corporate entity such as Optum or UnitedHealth Group. The MSO-Affiliated flag indicates the practice participates in a Management Services Organization, which provides administrative infrastructure while physicians retain ownership at the practice level. These flags help physicians understand the ownership structure before reaching out.

Most PGY-Final-Year physicians sign their first neurological surgery contract in Hawaii without knowing what else is out there. This directory shows the 8 groups they were never told about.

Pre-med was a checklist. Med school was a checklist. Residency interviews were a checklist. Boards were a checklist. Even the Match algorithm was a checklist someone else wrote.

Most neurological surgery physicians sign their first contract without knowing how many other groups exist within driving distance. This is the single largest source of leverage you give away in your career, and you give it away because nobody told you the information was out there. The Real Contract course walks you through every clause that matters.

NOT INCLUDED IN THIS DIRECTORY

Hospital-employed, government-operated, and academic positions are excluded. These are not independent private practices:

Hospital systems

Hospital-employed neurosurgeons at The Queen's Health Systems
PE-corporate

Federal facilities

Tripler Army Medical Center Neurosurgery
VA Pacific Islands Neurosurgery

Maintained by Daniel Aragón, MD, MBA, a physician who just walked this path. Last verified 2026-05-18.

Honolulu, HI

NPPES Verified

Neurosurgeon

Thomas Noh sees patients at a private neurological surgery office in Honolulu, Hawaii, emphasizing physician autonomy in clinical care. Physicians exploring opportunities can reach out through the practice website or by phone.

500 Ala Moana Blvd Building 4, #4-470, Honolulu, HI 96813

Visit Website Call

About this directory and the Hawaii neurological surgery market

Every other milestone came with a checklist. This one did not.

Then graduation approaches and the algorithm stops. A recruiter calls. The contract has a productivity formula you cannot solve for, a non-compete you cannot evaluate, and a tail-coverage clause nobody explained.

What this directory does is hand you the page you were missing. Every physician-owned neurological surgery group in Hawaii, in one place, so the first contract you sign is not the only contract you ever saw.

What other resources point to in Hawaii

I built this directory by starting with the NPPES NPI Registry, the federal database where every medical practice in the country has to register. From there, I filtered Hawaii's neurological surgery listings down to practices that are genuinely physician-owned. That means no hospital-employed roles, no academic faculty positions, no corporate-acquired clinics. What you're looking at is 8 independent neurological surgery practices across 1 cities in Hawaii.

You won't find this list anywhere else. National job boards aggregate whatever employers pay to post, regardless of ownership structure. This directory starts from the federal NPPES database and filters down to practices where physicians own the entity. That distinction matters because it determines everything: how you're compensated, how decisions get made, whether you'll ever have a real equity stake. Use it to identify practices worth reaching out to directly.

The Hawaii neurological surgery market in detail

Hawaii's physician-owned neurological surgery directory lists 5 practice locations in Honolulu.

None of the neurological surgery practices listed in Hawaii carry a PE-Backed or Corporate-Acquired flag. All listings in this directory are physician-owned independent practices verified through NPPES.

The PGY-Final-Year Path

Once you have the map, here is what to do with it.

The Directory is step one. The course teaches you what the contract actually says. The lawyer makes sure you sign the right one.

See what is around you

You are already here. 5 physician-owned neurological surgery groups in Hawaii, vetted against NPPES.

Read your contract

The Real Contract walks you through every clause that matters: non-compete, productivity, tail coverage, partnership track.

Hire the right lawyer

A vetted directory of physician-contract attorneys in Hawaii. The person on your side should be one who actually does this work.

The Real Contract ($99) Find a Lawyer in Hawaii

Stop being recruited. Start choosing.

You do not have to sign the first contract you see.

There are 8 other neurological surgery groups in Hawaii that physicians still own. Now you know about them.

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Resources

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Contract Lawyers in Hawaii

Attorneys who work specifically with physicians on employment agreements.

The Real Contract

Know what every clause means before you sign. $99.

Contract Glossary

RVU, tail insurance, non-compete: plain-language definitions for 100+ terms.

“You spent fifteen years on a map. Then someone took it away.”

Daniel Aragón, MD, MBA

Frequently asked questions about neurological surgery in Hawaii

How many Neurological Surgery private practices are in Hawaii?

There are 5 physician-owned neurological surgery private practices in Hawaii, verified against the NPPES NPI Registry. All are independently operated. Hospital-employed, government, corporate, and academic positions are excluded.

What does physician-owned mean?

A physician-owned practice is one where licensed physicians hold controlling ownership of the business entity. This is distinct from hospital employment, corporate medical groups, or private equity-backed practices where non-physician entities control the business.

What does the Corporate-Acquired or MSO-Affiliated flag mean?

The Corporate-Acquired flag means the practice was historically physician-owned but has since been acquired by a corporate entity such as Optum. The MSO-Affiliated flag means the practice uses a Management Services Organization for billing and administration while physicians retain practice-level ownership.

Private Practice Viability for Neurosurgeons in Hawaii

Hawaii doesn't have physician-owned independent neurological surgery practices in this directory. Most neurological surgery positions are hospital-employed or part of larger health systems.

What is an NPPES-verified practice?

NPPES is the National Plan and Provider Enumeration System, a federal database maintained by CMS. Every practice in this directory has an active NPI record in NPPES, confirming it is a registered U.S. medical practice.

Is neurosurgery private practice financially viable in Hawaii?

Yes, in markets with sufficient case volume and favorable payer mix. Neurosurgery private practice requires a group of sufficient size to share call and operating costs, direct commercial payer contracts above Medicare rates, and ideally ASC or spine surgery center ownership to capture facility fees. Malpractice premiums in neurosurgery are among the highest in medicine ($100,000-$300,000+ annually), confirm whether the practice covers this cost or whether it is deducted from physician compensation before evaluating the net income.

How Physician-Owned Practices Compare

	Physician-Owned	Hospital-Employed	Corporate / PE-Backed
Who controls the practice	Physicians	Health system	Non-physician entity
Non-compete scope	Narrower, negotiable	Broad	Very broad
Partnership / buy-in path	Common	Rare	Rare
Call schedule flexibility	Higher	Variable	Lower
Productivity bonus upside	High	Moderate	Moderate
Included in this directory	Yes	No	Flagged

Key Terms in Physician Contracts

Compensation Formula: The contractual method used to calculate physician pay. Common models include guaranteed salary, eat-what-you-kill (collections-based), salary plus production bonus (RVU or collections above a threshold), and equal-share partnership distributions. The formula directly affects income stability, upside potential, and alignment with practice goals.
Partnership Buy-In: The purchase of an ownership stake in a physician practice entity, typically offered after an associate track of 2 to 5 years. The buy-in price is calculated using business valuation, a multiple of earnings, or a formula tied to practice receivables. True equity buy-ins include voting rights and profit distributions.
Without-Cause Termination: A contract clause that allows either party to end the employment agreement without stating a reason, typically with 60 to 120 days written notice. The notice period, post-termination obligations (non-compete activation, tail insurance responsibility), and severance terms are negotiable. Shorter notice periods favor the employer.
Call Coverage: The obligation to provide after-hours or weekend coverage for patient emergencies. Contracts should specify call frequency (1 in 4, 1 in 6, etc.), whether call is compensated separately, and whether the physician takes call from home or in-house. Unrestricted call obligations are a common source of physician burnout.
Credentialing: The process by which hospitals and insurance companies verify a physician's education, training, board certification, licensure, and malpractice history before granting privileges or network participation. Credentialing typically takes 60 to 120 days and must be completed before a physician can bill patients under a new practice or facility.
Neurosurgery Malpractice Premium: Malpractice insurance premiums for neurosurgeons are among the highest in medicine due to the severity of potential adverse outcomes. Annual premiums typically range from $100,000 to $300,000+ depending on state, subspecialty focus, and claims history. Spine surgery carries higher premiums than cranial surgery in most states.
Spine Surgery ASC: An ambulatory surgery center specializing in spine procedures (microdiscectomy, laminectomy, fusion). Physician ownership of a spine ASC generates facility fees for procedures that would otherwise generate facility revenue for the hospital. Among the highest-revenue ASC types when case mix includes commercial payers.

This directory is maintained by Daniel Aragón, MD, MBA, a physician who just walked this path. All listings are pulled from the NPPES NPI Registry (CMS.gov), the federal database of all U.S. medical providers. Hospital-employed, corporate, and government-operated positions are excluded. Last updated: 2026-05-18.

Built by a physician who just walked this path. Daniel Aragón, MD, MBA.

Neurological Surgery Practice Directory: Hawaii

All 5 physician-owned neurological surgery practices in Hawaii, by city

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Excel Neurosurgery & Spine

Jon F. Graham MD LLC

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Thomas Noh, MD - Neurosurgeon in Hawaii