KAREN CHEN MD, MPHIL
NPI 1376076018
Ophthalmology in Honolulu, HI

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
1010 PENSACOLA ST, HONOLULU, HI 96814(808) 432-2000 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 23, 2023, Jun 30, 2021, Oct 23, 2019 and 2 more (5 updates tracked since 2017).

About Karen Chen Md, Mphil NPPES

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

KAREN CHEN MD, MPHIL (NPI 1376076018) is an individual ophthalmology provider in Honolulu, Hawaii, licensed in Massachusetts (287665) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2017).

NPPES Registry Identity

NPI1376076018
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKAREN CHENCredential: MD, MPHIL
Location Address1010 PENSACOLA STHonolulu, HI 96814-2118
Mailing Address243 Charles StBoston, MA 02114-3002 · (617) 573-3689
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateMarch 23, 20235 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1376076018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 287665
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.
1010 PENSACOLA ST, Honolulu, HI 96814

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Chen Md, Mphil 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 ID8729480769
PECOS Enrollment IDI20250211001511
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Chen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
25 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 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.

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.

Optometrist
1010 PENSACOLA ST
HONOLULU, HI 96814
Optometrist
1010 PENSACOLA ST
HONOLULU, HI 96814
Internal Medicine
1010 PENSACOLA ST
HONOLULU, HI 96814
Internal Medicine
1010 PENSACOLA ST
HONOLULU, HI 96814
Pharmacist
1010 PENSACOLA ST
HONOLULU, HI 96814
Orthopaedic Surgery (Sports Medicine)
1010 PENSACOLA ST
HONOLULU, HI 96814
Obstetrics & Gynecology
1010 PENSACOLA ST
HONOLULU, HI 96814
Pharmacist
1010 PENSACOLA ST
HONOLULU, HI 96814

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 Karen Chen's NPI number?

The NPI number for Karen Chen is 1376076018. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Karen Chen located?

Karen Chen practices at 1010 Pensacola St, Honolulu, HI 96814. The listed phone number is (808) 432-2000.

What is Karen Chen's specialty?

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

Is Karen Chen enrolled in Medicare?

Yes. Karen Chen 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.

Which organizations bill Medicare for Karen Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Chen reassigns Medicare benefits to 2 organizations: Hawaii Permanente Medical Group Inc (Honolulu, HI) and Permanente Medical Group Inc (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Chen was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.