Active NPI 1265427900 Individual Practitioner Female Practitioner

Dr. Nancy Chen , MD

Ophthalmology • Kapolei, HI

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Chen, MD is a certified Ophthalmology practicing in Kapolei, HI. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Chen delivers high-quality medical care to the local community at 511 MANAWAI ST. #401.

Dr. Chen does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, photography of the retina, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

511 Manawai St. #401

Kapolei, HI 967072027

Telephone 8086742273

Associated Practice Facility / Clinic

🏢 Nancy Chen, M.d., Inc. Facility NPI 1295144103

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Kapolei, HI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs -0.5 yrs vs City Avg

City Avg: 35.5 Yrs

State Avg: 31.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Kapolei, HI (136 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chen (35 Years) 35 Yrs

Kapolei Specialty Average (35.5 Years) 35.5 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
92012 Established patient problem focused exam of visual system	521	283	$165.55	$87.45
92250 Photography of the retina	444	383	$167.11	$36.33
92014 Established patient complete exam of visual system	411	346	$204.17	$124.13
92134 Imaging of retina	194	136	$157.03	$39.92
92133 Imaging of optic nerve	142	114	$157.07	$36.02
92083 Exam of visual field with extended testing	98	87	$209.42	$62.67
92020 Examination of cornea and iris using lens device and slit lamp	84	69	$131.14	$26.11
92136 Measurement of corneal curvature and depth of eye	83	25	$158.12	$22.72
83861 Microfluid analysis of tears	77	28	$52.36	$21.53
68761 Closure of tear duct opening using plug	72	16	$314.14	$93.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$261.78	$160.42
66984 Removal of cataract with insertion of lens	26	16	$1570.68	$443.87
66821 Removal of recurring cataract in lens capsule using a laser	20	18	$660.90	$328.60
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$150.52	$88.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	406	208	$136.13	$94.30
92250 Photography of the retina	282	240	$167.13	$39.29
92014 Established patient complete exam of visual system	280	237	$204.12	$130.53
92134 Imaging of retina	94	67	$157.07	$40.91
83861 Microfluid analysis of tears	90	33	$52.36	$22.03
92136 Measurement of corneal curvature and depth of eye	89	27	$158.49	$25.68
92133 Imaging of optic nerve	70	56	$157.07	$39.35
92083 Exam of visual field with extended testing	69	62	$209.42	$65.87
68761 Closure of tear duct opening using plug	64	17	$314.14	$100.30
92020 Examination of cornea and iris using lens device and slit lamp	59	46	$83.77	$28.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$264.36	$169.87
66984 Removal of cataract with insertion of lens	29	17	$1570.68	$566.38
66821 Removal of recurring cataract in lens capsule using a laser	22	19	$660.90	$357.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	332	185	$136.13	$94.57
92014 Established patient complete exam of visual system	214	170	$202.97	$133.56
92250 Photography of the retina	177	152	$167.13	$39.95
83861 Microfluid analysis of tears	104	34	$52.36	$21.82
92134 Imaging of retina	94	73	$157.07	$43.59
68761 Closure of tear duct opening using plug	51	15	$314.14	$122.26
92136 Measurement of corneal curvature and depth of eye	50	17	$159.10	$27.26
92083 Exam of visual field with extended testing	48	43	$209.42	$68.05
92133 Imaging of optic nerve	46	38	$157.07	$39.61
92020 Examination of cornea and iris using lens device and slit lamp	29	24	$83.77	$27.63
66821 Removal of recurring cataract in lens capsule using a laser	27	24	$660.90	$330.93
66984 Removal of cataract with insertion of lens	21	14	$1570.68	$551.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$341.82	$176.82
92285 Photography of content of eyes	13	11	$89.01	$22.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	363	194	$136.13	$97.11
92014 Established patient complete exam of visual system	291	234	$203.33	$136.51
92250 Photography of the retina	235	201	$167.13	$42.53
92134 Imaging of retina	100	72	$157.07	$44.46
83861 Microfluid analysis of tears	86	33	$52.36	$21.43
92133 Imaging of optic nerve	84	66	$157.07	$40.34
92136 Measurement of corneal curvature and depth of eye	54	17	$153.12	$31.67
92020 Examination of cornea and iris using lens device and slit lamp	45	38	$83.77	$29.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	37	$183.25	$125.16
68761 Closure of tear duct opening using plug	39	14	$314.14	$126.14
66821 Removal of recurring cataract in lens capsule using a laser	32	26	$660.90	$369.24
92083 Exam of visual field with extended testing	32	31	$209.42	$69.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$327.17	$173.32
66984 Removal of cataract with insertion of lens	21	12	$1570.68	$585.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	380	199	$131.83	$95.24
92014 Established patient complete exam of visual system	305	229	$211.46	$134.91
92250 Photography of the retina	209	179	$167.13	$48.72
92133 Imaging of optic nerve	67	61	$157.07	$40.56
92134 Imaging of retina	66	50	$157.07	$44.13
92020 Examination of cornea and iris using lens device and slit lamp	62	44	$83.77	$29.65
92136 Measurement of corneal curvature and depth of eye	61	21	$171.11	$35.24
83861 Microfluid analysis of tears	54	20	$52.36	$22.28
66821 Removal of recurring cataract in lens capsule using a laser	25	20	$687.34	$368.96
66984 Removal of cataract with insertion of lens	20	12	$1570.68	$597.61
92083 Exam of visual field with extended testing	15	15	$209.42	$71.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$172.77	$116.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$341.82	$176.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	492	246	$125.03	$94.94
92014 Established patient complete exam of visual system	374	288	$252.33	$134.32
92250 Photography of the retina	196	160	$166.95	$55.44
92136 Measurement of corneal curvature and depth of eye	129	53	$159.04	$37.28
92133 Imaging of optic nerve	116	91	$157.07	$40.17
83861 Microfluid analysis of tears	92	37	$52.36	$21.07
92134 Imaging of retina	87	63	$157.07	$43.75
66984 Removal of cataract with insertion of lens	73	42	$1570.68	$590.88
92020 Examination of cornea and iris using lens device and slit lamp	61	42	$83.77	$28.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$341.82	$174.11
68761 Closure of tear duct opening using plug	37	14	$436.60	$175.88
66821 Removal of recurring cataract in lens capsule using a laser	35	30	$660.90	$348.90
66711 Destruction of tissue encircling lens using an endoscope	22	14	$1152.71	$609.29
92225 Examination of eye by ophthalmoscope with retinal drawing	17	11	$130.89	$28.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$172.77	$115.62
92004 New patient complete exam of visual system	16	16	$235.60	$164.76
92083 Exam of visual field with extended testing	16	16	$209.42	$71.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	595	283	$123.79	$87.76
92014 Established patient complete exam of visual system	430	335	$251.56	$126.35
92250 Photography of the retina	237	199	$168.18	$59.59
83861 Microfluid analysis of tears	225	73	$52.36	$21.45
92133 Imaging of optic nerve	111	100	$157.07	$38.56
92136 Measurement of corneal curvature and depth of eye	104	44	$177.43	$38.89
92083 Exam of visual field with extended testing	96	89	$209.17	$64.33
92134 Imaging of retina	63	52	$157.07	$42.67
66984 Removal of cataract with insertion of lens	61	37	$1570.68	$503.09
92004 New patient complete exam of visual system	54	54	$237.19	$154.82
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	46	$52.36	$22.59
92020 Examination of cornea and iris using lens device and slit lamp	41	34	$83.77	$27.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$341.82	$158.43
92285 Photography of content of eyes	26	23	$89.01	$17.78
66821 Removal of recurring cataract in lens capsule using a laser	23	19	$637.01	$340.08
65855 Laser repair to improve eye fluid flow	23	19	$628.27	$258.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$172.77	$110.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	602	255	$120.67	$85.81
92014 Established patient complete exam of visual system	382	280	$209.71	$127.36
83861 Microfluid analysis of tears	227	76	$52.36	$21.35
92250 Photography of the retina	172	135	$138.50	$70.34
92133 Imaging of optic nerve	99	83	$157.07	$38.66
92136 Measurement of corneal curvature and depth of eye	84	54	$206.93	$66.73
92134 Imaging of retina	82	65	$157.07	$44.20
66984 Removal of cataract with insertion of lens	81	48	$1570.68	$541.42
92083 Exam of visual field with extended testing	46	46	$209.42	$66.33
92020 Examination of cornea and iris using lens device and slit lamp	42	35	$83.77	$27.65
92004 New patient complete exam of visual system	36	36	$235.60	$160.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$240.84	$157.16
66821 Removal of recurring cataract in lens capsule using a laser	27	22	$523.56	$322.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$172.77	$105.53
92285 Photography of content of eyes	21	20	$89.01	$21.50
65855 Laser repair to improve eye fluid flow	20	17	$628.27	$262.19
67904 Repair of tendon of upper eyelid	13	13	$2819.17	$843.59

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License HI 10756

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

49319801 (HI)

Commercial Insurance / Payer ID Uha Provider

990355307 (HI)

Commercial Insurance / Payer ID Hma Provider

197099 (HI)

Commercial Insurance / Payer ID Aloha Care Provider

4931984

Commercial Insurance / Payer ID Queen's Provider

MD10756-01 (HI)

Commercial Insurance / Payer ID Hmsa Provider

00A0219509 (HI)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Lea Young , OD

Optometrist

NPI 1265745285

Doctor of Optometry

Carla Watase

Optometrist

NPI 1811432784

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2014

Registered at 511 MANAWAI ST. #401, KAPOLEI, HI 967072027 (Tel: 8086742273)

📍

Updated Business Mailing Address August 04, 2014

Registered at 511 MANAWAI ST. #401, KAPOLEI, HI 967072027 (Tel: 8086742273)

👤

Provider Name / Credentials Updated August 04, 2014

Recorded as NANCY CHEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2014

Ophthalmology (License #10756 in HI)

🟢

Initial NPI Registration & Enumeration September 19, 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: 1265427900

Entity Type:

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

Enumeration Date: September 19, 2005

Last Update: August 04, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

511 Manawai St. #401

Kapolei, HI 967072027

Phone: 8086742273

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.