DR. LUKE CARLOS FORNARI M.D.
NPI 1114001617
Internal Medicine in Lihue, HI

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
3-3420 KUHIO HWY, LIHUE, HI 96766(808) 245-1100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Luke Carlos Fornari M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUKE CARLOS FORNARI M.D. (NPI 1114001617) is an individual internal medicine provider in Lihue, Hawaii, licensed in Hawaii (MD-13629) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1114001617
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LUKE CARLOS FORNARICredential: M.D.
Location Address3-3420 KUHIO HWYLihue, HI 96766-1042
Mailing Address2110 Kaneka St, Apt. 165Lihue, HI 96766-8011
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114001617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in HI · MD-13629
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3-3420 KUHIO HWY, Lihue, HI 96766

Other Identifiers 2

Medicare ID-Type Unspecified101346
Medicare UPINI50334

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Luke Carlos Fornari M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002823390
PECOS Enrollment IDI20060310000474
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
428 services123 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
138 services129 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services16 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services

Samuel Mahelona Memorial Hospital

Critical Access Hospitals · Kapaa, HI
OwnershipGovernment - State
CMS Certification Number121306
Location4800 Kawaihau RoadKapaa, HI 96746 · Kauai County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.12
Promoting Interoperability100
Improvement Activities40
Cost69.73

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers11 claims11 services$119.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Obstetrics & Gynecology
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Hospitalist
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Emergency Medicine
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Radiology (Diagnostic Radiology)
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Registered Nurse (Diabetes Educator)
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Obstetrics & Gynecology
3-3420 KUHIO HWY
LIHUE, HI 96766
Anesthesiology
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luke Fornari's NPI number?

The NPI number for Luke Fornari is 1114001617. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Luke Fornari located?

Luke Fornari practices at 3-3420 Kuhio Hwy, Lihue, HI 96766. The listed phone number is (808) 245-1100.

What is Luke Fornari's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Luke Fornari enrolled in Medicare?

Yes. Luke Fornari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Luke Fornari affiliated with any hospitals?

According to CMS data, Luke Fornari is affiliated with Wilcox Memorial Hospital, Straub Clinic And Hospital and Samuel Mahelona Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Luke Fornari was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.