NANCY CHEN MD
NPI 1265427900
Ophthalmology in Kapolei, HI

Q: What is Nancy Chen's NPI number?

The NPI number for Nancy Chen is 1265427900. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Nancy Chen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Chen was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 19, 2005PECOS EnrolledCLIA 12D2055022 · Waiver

88.72/100

CMS Quality Rating

511 MANAWAI ST. #401, KAPOLEI, HI 96707(808) 674-2273 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Nancy Chen Md NPPES

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

NANCY CHEN MD (NPI 1265427900) is an individual ophthalmology provider in Kapolei, Hawaii, licensed in Hawaii (10756) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 3, 2027, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1265427900

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameNANCY CHENCredential: MD

Location Address511 MANAWAI ST. #401Kapolei, HI 96707-2027

Mailing Address511 Manawai St. #401Kapolei, HI 96707-2027 · (808) 674-2273

Phone(808) 674-2273

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateSeptember 19, 2005

Last NPPES UpdateAugust 4, 2014

✔ NPI 1265427900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in HI · 10756

Definition

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.

Other Identifiers 8

Other00A0219509HI · Hmsa Provider

Medicare NSC4439220001HI

Other4931984Aloha Care Provider

Medicare ID-Type UnspecifiedH54082HI · Medicare Provider Number

Medicaid49319801HI

Other197099HI · Hma Provider

OtherMD10756-01HI · Queen's Provider

Other990355307HI · Uha Provider

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy Chen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517858020

PECOS Enrollment IDI20060113000584

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2055022

Nancy Chen MD Inc Dba Kapolei Eye Care · Kapolei, HI

Active · expires Mar 3, 2027

CLIA Number12D2055022

Laboratory TypePhysician Office

Certificate Effective DateMarch 4, 2025

Certificate Expiration DateMarch 3, 2027

Laboratory DirectorDr. Nancy Chen

Laboratory Phone(808) 674-2273

Laboratory LocationNancy Chen MD Inc Dba Kapolei Eye Care511 Manawai St, Kapolei, HI 96707

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

521 services283 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

444 services383 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

411 services346 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

194 services136 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

142 services114 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

98 services87 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

84 services69 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

83 services25 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

77 services28 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

72 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

62 services62 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

26 services16 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

20 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96707 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

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

Most-billed visit code 99213

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.

88.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

77.45

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

98%364 patients4/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

0%44 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%1,639 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

28%198 patients2/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 80% · 46 patients

0%46 patients

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

97%114 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 622 patients

Patients totalRate: 0% · 622 patients

0%622 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

NANCY CHEN, M.D., INC.

Ophthalmology

511 MANAWAI ST. #401
KAPOLEI, HI 96707

Honolulu County (808) 674-2273

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 Nancy Chen's NPI number?

The NPI number for Nancy Chen is 1265427900. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Nancy Chen located?

Nancy Chen practices at 511 Manawai St. #401, Kapolei, HI 96707. The listed phone number is (808) 674-2273.

What is Nancy Chen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nancy Chen enrolled in Medicare?

Yes. Nancy Chen is registered in the Medicare PECOS enrollment system.

Does Nancy Chen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2055022) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nancy Chen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HMSA and Providence Health Plan list Nancy Chen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nancy Chen was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.