Deactivated NPI 1609870666 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel Chung-Hang Lo , OD, MD

Ophthalmology • Honolulu, HI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Lo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2005

NPI Deactivation Date July 23, 2026

Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Lo, OD, MD was a registered Ophthalmology practicing in Honolulu, HI. Throughout an active medical career spanning 21 years, Dr. Lo provided care at the practice location at 1441 KAPIOLANI BLVD until profile deactivation on 2026-07-23.

Historical Medicare Part B clinical services included established patient complete exam of visual system, imaging of retina, established patient problem focused exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1441 Kapiolani Blvd
Ste 418

Honolulu, HI 968144400

Telephone 8089492000

Fax 8089492900

Associated Practice Facility / Clinic

🏢 Dukee Kim, M.d. A Professional Corporation Facility NPI 1073572665

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Honolulu, HI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.0 Yrs

State Avg: 31.7 Yrs

Regional Practice Density

74 Specialists

Practicing in Honolulu, HI (136 Statewide)

Telehealth Adoption Rate

6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	18	18	$254.50	$140.94
92134 Imaging of retina	11	11	$112.96	$44.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	13	13	$254.50	$113.83
92134 Imaging of retina	11	11	$112.96	$38.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	26	26	$254.50	$140.03
92134 Imaging of retina	21	19	$112.96	$44.83
92012 Established patient problem focused exam of visual system	15	12	$175.13	$99.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	94	81	$112.96	$44.73
92014 Established patient complete exam of visual system	90	82	$254.50	$137.88
92012 Established patient problem focused exam of visual system	64	44	$175.13	$97.76
92083 Exam of visual field with extended testing	25	25	$185.52	$67.77
92020 Examination of cornea and iris using lens device and slit lamp	25	24	$76.75	$29.01
92133 Imaging of optic nerve	19	18	$112.96	$41.33
76514 Ultrasound scan of cornea to determine thickness	15	15	$52.36	$11.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	284	238	$254.50	$135.46
92134 Imaging of retina	209	159	$112.96	$44.24
92012 Established patient problem focused exam of visual system	202	111	$175.13	$94.92
92083 Exam of visual field with extended testing	118	115	$185.52	$67.56
92250 Photography of the retina	80	77	$167.13	$47.81
92133 Imaging of optic nerve	72	63	$112.96	$40.36
76514 Ultrasound scan of cornea to determine thickness	71	61	$36.36	$11.95
92020 Examination of cornea and iris using lens device and slit lamp	43	39	$76.75	$29.13
68761 Closure of tear duct opening using plug	33	16	$306.60	$128.79
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	24	15	$918.86	$329.77
92004 New patient complete exam of visual system	18	18	$310.20	$165.51
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$660.90	$345.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	335	209	$175.13	$94.80
92134 Imaging of retina	266	219	$112.96	$44.02
92014 Established patient complete exam of visual system	236	221	$254.50	$135.34
92250 Photography of the retina	112	108	$167.13	$55.49
92083 Exam of visual field with extended testing	107	103	$185.52	$70.54
92133 Imaging of optic nerve	85	84	$112.96	$39.74
76514 Ultrasound scan of cornea to determine thickness	78	78	$30.52	$12.35
92020 Examination of cornea and iris using lens device and slit lamp	47	43	$69.98	$27.83
92004 New patient complete exam of visual system	18	18	$310.20	$149.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	329	192	$175.24	$97.52
92134 Imaging of retina	310	252	$113.41	$46.13
92014 Established patient complete exam of visual system	189	187	$254.24	$139.05
92083 Exam of visual field with extended testing	160	159	$185.25	$71.93
92250 Photography of the retina	94	91	$167.13	$65.21
92020 Examination of cornea and iris using lens device and slit lamp	89	84	$58.04	$29.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	88	$224.87	$114.83
92133 Imaging of optic nerve	67	63	$112.96	$42.48
76514 Ultrasound scan of cornea to determine thickness	66	61	$30.52	$15.95
92004 New patient complete exam of visual system	45	45	$310.20	$166.18
99213 Established patient office or other outpatient visit, typically 15 minutes	34	22	$148.06	$76.96
92025 Ct scan of cornea	24	18	$77.10	$40.89
92136 Measurement of corneal curvature and depth of eye	23	17	$191.18	$72.09
66821 Removal of recurring cataract in lens capsule using a laser	15	14	$660.90	$378.29
66984 Removal of cataract with insertion of lens	14	13	$1546.62	$720.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	334	272	$251.50	$43.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	177	$155.39	$109.01
92083 Exam of visual field with extended testing	183	172	$142.46	$68.60
92014 Established patient complete exam of visual system	150	149	$229.48	$131.53
92012 Established patient problem focused exam of visual system	129	93	$187.30	$90.47
99213 Established patient office or other outpatient visit, typically 15 minutes	94	63	$104.49	$74.22
92133 Imaging of optic nerve	91	87	$252.33	$39.72
76514 Ultrasound scan of cornea to determine thickness	77	75	$52.36	$14.68
J0178 Injection, aflibercept, 1 mg	46	12	$1570.68	$879.38
92020 Examination of cornea and iris using lens device and slit lamp	44	36	$90.70	$28.36
92004 New patient complete exam of visual system	39	39	$253.49	$160.78
92025 Ct scan of cornea	24	20	$157.07	$37.57
67028 Injection of drug into eye	24	13	$1945.51	$100.22
92136 Measurement of corneal curvature and depth of eye	23	19	$313.23	$73.46
66984 Removal of cataract with insertion of lens	18	16	$3668.05	$626.24
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	18	12	$1910.44	$320.82

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License HI 7922

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Jonathan Lo , MD

Ophthalmology

NPI 1285096289

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

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NPI Profile Active April 01, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 01, 2017

Registered at 1441 KAPIOLANI BLVD, STE 418, HONOLULU, HI 968144400 (Tel: 8089492000)

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Updated Business Mailing Address April 01, 2017

Registered at 1441 KAPIOLANI BLVD, STE 418, HONOLULU, HI 968144400 (Tel: 8089492000)

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Provider Name / Credentials Updated April 01, 2017

Recorded as SAMUEL LO, O.D., M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2017

Ophthalmology (License #7922 in HI)

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NPI Profile Active January 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2013

Registered at 1441 KAPIOLANI BLVD, STE 418, HONOLULU, HI 968144400 (Tel: 8089492000)

📍

Updated Business Mailing Address January 08, 2013

Registered at 1441 KAPIOLANI BLVD, STE 418, HONOLULU, HI 968144400 (Tel: 8089492000)

👤

Provider Name / Credentials Updated January 08, 2013

Recorded as SAMUEL LO, O.D., M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2013

Ophthalmology (License #7922 in HI)

🟢

Initial NPI Registration & Enumeration June 08, 2005

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: 1609870666

Entity Type:

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

Enumeration Date: June 08, 2005

Last Update: January 08, 2013

Deactivation Date: July 23, 2026

Update or Correct Profile

Mailing Address

1441 Kapiolani Blvd, Ste 418

Honolulu, HI 968144400

Phone: 8089492000

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.