DR. GILBERT KOJI YAMAMOTO MD
NPI 1316931314
Ophthalmology in Honolulu, HI

NPI Status: Active since September 06, 2005

Contact Information

405 N KUAKINI ST
SUITE 1106
HONOLULU, HI
ZIP 96817
Phone: (808) 531-5993
Fax: (808) 534-4974

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  • Individual
  • Male
  • Ophthalmology
  • PECOS Enrolled

About GILBERT YAMAMOTO

This page provides the complete NPI Profile along with additional information for Gilbert Yamamoto, a provider established in Honolulu, Hawaii with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1316931314 assigned on September 2005. The practitioner's primary taxonomy code is 207W00000X with license number MD-3528 (HI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1316931314
Provider Name
DR. GILBERT KOJI YAMAMOTO MD
Gender
Male
Entity Type
Individual
Location Address
405 N KUAKINI ST SUITE 1106 HONOLULU, HI 96817
Location Phone
(808) 531-5993
Location Fax
(808) 534-4974
Mailing Address
405 N KUAKINI ST SUITE 1106 HONOLULU, HI 96817
Mailing Phone
(808) 531-5993
Mailing Fax
(808) 534-4974
Is Sole Proprietor?
Yes
Enumeration Date
09-06-2005
Last Update Date
01-14-2008
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Ophthalmologists like Gilbert Yamamoto specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD-3528
License State
HI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
042173-01MEDICAID (05)HI 
4650-8OTHER (01)HIHMSA
A66925MEDICARE UPIN (02) 
0000BDGNFMEDICARE ID-TYPE UNSPECIFIED (04) 

Medicare Participation & PECOS Enrollment Status

Gilbert Yamamoto is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient complete exam of visual system

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.

This service was performed 40 times for 40 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 35 times for 34 patients

Established patient problem focused exam of visual system

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.

This service was performed 20 times for 19 patients

Exam of the internal drainage system of eye

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.

This service was performed 72 times for 72 patients

Exam of visual field with extended testing

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.

This service was performed 41 times for 41 patients

Extended exam of the back part of the eye with optic nerve drawing

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

This service was performed 30 times for 30 patients

Imaging of optic nerve

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).

This service was performed 49 times for 49 patients

Photography of the retina

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.

This service was performed 23 times for 23 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 96817 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $136.68
  • Minimum New Patient Price $60.53
  • Maximum New Patient Price $180.05
  • Average New Patient Copayment $34.17
  • Minimum New Patient Copayment $15.13
  • Maximum New Patient Copayment $45.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.92
  • Minimum Established Patient Price $20.09
  • Maximum Established Patient Price $147.56
  • Average Established Patient Copayment $18.73
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $36.89

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316931314, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 8 + 3 + 2 + 3 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1316931314.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
405 N KUAKINI ST, SUITE 1004
HONOLULU, HI 96817
Specialist
405 N KUAKINI ST, SUITE 607
HONOLULU, HI 96817
Internal Medicine (Cardiovascular Disease)
405 N KUAKINI ST, SUITE 1107
HONOLULU, HI 96817
Specialist
405 N KUAKINI ST, SUITE 703
HONOLULU, HI 96817
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
405 N KUAKINI ST
HONOLULU, HI 96817
Internal Medicine
405 N KUAKINI ST, SUITE 901
HONOLULU, HI 96817
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
405 N KUAKINI ST, SUITE 608
HONOLULU, HI 96817
Dermatology
405 N KUAKINI ST, SUITE 703
HONOLULU, HI 96817
Physical Therapist (Orthopedic)
405 N KUAKINI ST, 1101
HONOLULU, HI 96817
Dermatology
405 N KUAKINI ST, SUITE 1110
HONOLULU, HI 96817
Internal Medicine (Gastroenterology)
405 N KUAKINI ST, SUITE 1108
HONOLULU, HI 96817
Internal Medicine (Cardiovascular Disease)
405 N KUAKINI ST, SUITE 1102
HONOLULU, HI 96817
Internal Medicine (Gastroenterology)
405 N KUAKINI ST, SUITE 1108
HONOLULU, HI 96817
Dermatology
405 N KUAKINI ST, SUITE 703
HONOLULU, HI 96817
Specialist
405 N KUAKINI ST, SUITE 704
HONOLULU, HI 96817
Specialist
405 N KUAKINI ST, SUITE 607
HONOLULU, HI 96817
Clinic/Center (Ophthalmologic Surgery)
405 N KUAKINI ST, SUITE 1106
HONOLULU, HI 96817
Clinic/Center (Primary Care)
405 N KUAKINI ST, SUITE 901
HONOLULU, HI 96817
Internal Medicine
405 N KUAKINI ST, #1103
HONOLULU, HI 96817
Internal Medicine
405 N KUAKINI ST, SUITE 1103
HONOLULU, HI 96817

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316931314, enumerated as an "individual" on September 06, 2005.

The provider is located at 405 N KUAKINI ST SUITE 1106 HONOLULU, HI 96817 and the phone number is (808) 531-5993.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.