Active NPI 1528121423 Individual Practitioner Male Practitioner

Dr. Luis Carlos Omphroy , MD

Ophthalmology • Aiea, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luis Omphroy, MD is a certified Ophthalmology practicing in Aiea, HI. With approximately 30 years of clinical experience since graduating from University Of California, San Francisco School Of Medicine in 1996, Dr. Omphroy delivers high-quality medical care to the local community at 98-1079 MOANALUA RD.

Dr. Omphroy accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, examination of cornea and iris using lens device and slit lamp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

98-1079 Moanalua Rd
Suite 680

Aiea, HI 967014713

Telephone 8084877700

Fax 8084884151

Associated Practice Facility / Clinic

🏢 Retina Consultants Of Hawaii Inc Facility NPI 1124089446

Medicare Profile & Education

Medical School

University Of California, San Francisco School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Aiea, HI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -0.4 yrs vs City Avg

City Avg: 30.4 Yrs

State Avg: 31.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Aiea, HI (136 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Omphroy (30 Years) 30 Yrs

Aiea Specialty Average (30.4 Years) 30.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	934	552	$219.86	$133.92
92250 Photography of the retina	354	257	$167.13	$37.78
92020 Examination of cornea and iris using lens device and slit lamp	312	162	$94.24	$28.43
92133 Imaging of optic nerve	273	189	$83.77	$38.16
92012 Established patient problem focused exam of visual system	185	128	$166.60	$95.41
92136 Measurement of corneal curvature and depth of eye	185	57	$73.50	$24.15
92083 Exam of visual field with extended testing	99	93	$185.52	$66.62
66984 Removal of cataract with insertion of lens	89	53	$1465.97	$551.97
92134 Imaging of retina	67	52	$78.53	$42.74
92025 Ct scan of cornea	54	53	$77.10	$39.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	51	51	$298.43	$222.92
92004 New patient complete exam of visual system	44	44	$261.78	$155.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$261.78	$165.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	16	$224.87	$32.56
66821 Removal of recurring cataract in lens capsule using a laser	18	16	$660.90	$317.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	863	497	$215.24	$132.69
92250 Photography of the retina	321	228	$167.13	$38.27
92020 Examination of cornea and iris using lens device and slit lamp	290	154	$94.24	$28.87
92133 Imaging of optic nerve	256	173	$74.57	$38.37
92012 Established patient problem focused exam of visual system	158	112	$136.13	$93.91
92136 Measurement of corneal curvature and depth of eye	144	41	$66.97	$24.37
92083 Exam of visual field with extended testing	83	69	$185.52	$66.27
66984 Removal of cataract with insertion of lens	70	39	$1465.97	$550.80
92134 Imaging of retina	60	49	$78.53	$43.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$261.23	$167.72
92025 Ct scan of cornea	41	41	$77.10	$38.60
92004 New patient complete exam of visual system	36	36	$255.24	$154.92
66821 Removal of recurring cataract in lens capsule using a laser	23	22	$660.90	$353.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$298.43	$227.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	855	471	$178.13	$135.41
92250 Photography of the retina	383	261	$167.13	$39.23
92020 Examination of cornea and iris using lens device and slit lamp	286	146	$94.24	$29.93
92133 Imaging of optic nerve	189	135	$73.30	$39.37
92012 Established patient problem focused exam of visual system	169	109	$136.13	$95.58
92136 Measurement of corneal curvature and depth of eye	136	45	$71.34	$27.48
92083 Exam of visual field with extended testing	124	104	$185.52	$68.60
66984 Removal of cataract with insertion of lens	68	39	$1465.97	$546.48
92134 Imaging of retina	61	45	$78.53	$43.36
92025 Ct scan of cornea	47	46	$77.10	$34.81
92004 New patient complete exam of visual system	36	36	$235.60	$155.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$251.31	$177.50
66821 Removal of recurring cataract in lens capsule using a laser	22	20	$660.90	$341.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$298.43	$234.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	860	482	$178.13	$137.40
92250 Photography of the retina	401	272	$167.13	$41.40
92020 Examination of cornea and iris using lens device and slit lamp	307	153	$94.24	$30.44
92133 Imaging of optic nerve	204	146	$73.30	$40.39
92083 Exam of visual field with extended testing	166	126	$185.52	$70.94
92012 Established patient problem focused exam of visual system	137	102	$136.28	$93.29
92136 Measurement of corneal curvature and depth of eye	130	51	$68.31	$30.81
66984 Removal of cataract with insertion of lens	72	42	$1465.97	$527.51
92134 Imaging of retina	51	36	$78.53	$44.68
92025 Ct scan of cornea	48	48	$77.10	$34.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$251.31	$180.23
92004 New patient complete exam of visual system	35	35	$236.20	$141.45
92201 Extended exam of the back part of the eye with retinal drawing	34	33	$53.67	$26.14
66821 Removal of recurring cataract in lens capsule using a laser	24	20	$660.90	$359.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$298.43	$219.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	754	449	$200.91	$136.13
92250 Photography of the retina	342	248	$167.13	$47.30
92020 Examination of cornea and iris using lens device and slit lamp	268	142	$92.29	$30.08
92133 Imaging of optic nerve	189	144	$84.84	$40.73
92012 Established patient problem focused exam of visual system	173	123	$146.27	$95.06
92083 Exam of visual field with extended testing	135	107	$185.52	$69.79
92136 Measurement of corneal curvature and depth of eye	108	44	$94.75	$34.01
66984 Removal of cataract with insertion of lens	57	35	$1491.44	$584.69
92202 Extended exam of the back part of the eye with optic nerve drawing	55	53	$53.09	$17.07
92004 New patient complete exam of visual system	50	50	$246.88	$164.86
92025 Ct scan of cornea	46	43	$77.10	$34.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$286.07	$171.67
92134 Imaging of retina	32	25	$85.80	$41.26
66821 Removal of recurring cataract in lens capsule using a laser	12	11	$660.90	$360.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	797	464	$254.50	$135.77
92226 Examination of eye by ophthalmoscope with retinal drawing	552	171	$49.93	$26.96
92250 Photography of the retina	373	258	$167.13	$53.85
92012 Established patient problem focused exam of visual system	217	146	$175.13	$95.32
92020 Examination of cornea and iris using lens device and slit lamp	211	122	$84.12	$29.53
92133 Imaging of optic nerve	164	128	$112.96	$39.96
92083 Exam of visual field with extended testing	124	100	$185.52	$70.87
92136 Measurement of corneal curvature and depth of eye	119	46	$166.70	$37.72
66984 Removal of cataract with insertion of lens	65	42	$1546.62	$693.13
92225 Examination of eye by ophthalmoscope with retinal drawing	54	27	$55.02	$29.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$343.99	$170.94
92025 Ct scan of cornea	43	43	$77.10	$37.46
92134 Imaging of retina	35	26	$112.72	$44.08
92004 New patient complete exam of visual system	30	30	$310.20	$156.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	793	458	$253.83	$128.14
92226 Examination of eye by ophthalmoscope with retinal drawing	534	168	$51.04	$25.05
92250 Photography of the retina	375	266	$166.89	$57.43
92012 Established patient problem focused exam of visual system	221	143	$174.64	$89.02
92020 Examination of cornea and iris using lens device and slit lamp	212	119	$63.41	$27.12
92133 Imaging of optic nerve	155	124	$112.69	$38.21
92136 Measurement of corneal curvature and depth of eye	138	54	$164.16	$39.92
92083 Exam of visual field with extended testing	135	103	$182.14	$66.35
66984 Removal of cataract with insertion of lens	78	50	$1547.85	$656.06
92025 Ct scan of cornea	54	54	$77.03	$36.76
92225 Examination of eye by ophthalmoscope with retinal drawing	54	27	$55.02	$27.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$340.78	$164.64
92004 New patient complete exam of visual system	37	37	$310.20	$153.80
92134 Imaging of retina	28	23	$112.96	$44.06
66821 Removal of recurring cataract in lens capsule using a laser	16	15	$671.95	$348.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	769	430	$230.37	$124.88
92226 Examination of eye by ophthalmoscope with retinal drawing	469	160	$99.48	$24.85
92250 Photography of the retina	360	271	$157.07	$69.23
92020 Examination of cornea and iris using lens device and slit lamp	187	115	$83.77	$27.36
92012 Established patient problem focused exam of visual system	186	114	$157.07	$87.37
92133 Imaging of optic nerve	127	110	$104.71	$38.05
92136 Measurement of corneal curvature and depth of eye	122	58	$117.20	$51.41
92083 Exam of visual field with extended testing	97	80	$120.42	$61.34
66984 Removal of cataract with insertion of lens	79	49	$1570.68	$651.23
92225 Examination of eye by ophthalmoscope with retinal drawing	50	26	$104.71	$25.24
92025 Ct scan of cornea	50	49	$73.30	$35.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$287.96	$162.73
92004 New patient complete exam of visual system	28	28	$274.12	$138.58
66821 Removal of recurring cataract in lens capsule using a laser	22	17	$837.70	$346.74
92134 Imaging of retina	14	11	$104.71	$43.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$47.12	$21.49

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License HI MD-11461

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Specialist

NUCC Taxonomy Code: 174400000X

State License HI MD11461

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

D0228777 (HI)

Commercial Insurance / Payer ID Md

11461 (HI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Gabriela Ortiz-Omphroy , MD

Specialist

NPI 1093879884

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2013

Registered at 98-1079 MOANALUA RD, SUITE 680, AIEA, HI 967014713 (Tel: 8084877700)

📍

Updated Business Mailing Address January 16, 2013

Registered at 98-1079 MOANALUA RD, SUITE 680, AIEA, HI 967014713 (Tel: 8084877700)

👤

Provider Name / Credentials Updated January 16, 2013

Recorded as LUIS OMPHROY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2013

Specialist (License #MD11461 in HI)

🟢

Initial NPI Registration & Enumeration December 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528121423

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 19, 2006

Last Update: February 08, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

98-1079 Moanalua Rd, Suite 680

Aiea, HI 967014713

Phone: 8084877700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.