DR. CARLOS A. OMPHROY M. D.
NPI 1437165396
Ophthalmology in Mililani, HI

Q: What is Carlos Omphroy's NPI number?

The NPI number for Carlos Omphroy is 1437165396. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Carlos Omphroy'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 Carlos Omphroy was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 July 31, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 12D2108755 · Waiver

89.59/100

CMS Quality Rating

95-720 LANIKUHANA AVE, SUITE 110, MILILANI, HI 96789(808) 625-5577(808) 625-1221 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Carlos A. Omphroy M. D. NPPES

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

DR. CARLOS A. OMPHROY M. D. (NPI 1437165396) is an individual ophthalmology provider in Mililani, Hawaii, licensed in Hawaii (MD4936) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 9, 2028, and is a graduate of University Of California, Geffen School Of Medicine (1979).

NPPES Registry Identity

NPI1437165396

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. CARLOS A. OMPHROYCredential: M. D.

Location Address95-720 LANIKUHANA AVE, SUITE 110Mililani, HI 96789-2985

Mailing Address95-720 Lanikuhana Ave, Suite 110Mililani, HI 96789-2985 · (808) 625-5577 · Fax (808) 625-1221

Phone(808) 625-5577

Fax(808) 625-1221

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1979

Enumeration DateJuly 31, 2006

Last NPPES UpdateJune 18, 2009

✔ NPI 1437165396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in HI · MD4936

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.

95-720 LANIKUHANA AVE, Mililani, HI 96789

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINC98575HI

Medicaid01649901HI

OtherC01766-9HI · Hmsa

Medicare PIN0000BDQVBHI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

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. Carlos A. Omphroy 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 ID8325942188

PECOS Enrollment IDI20050928001369

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 12D2108755

Carlos A Omphroy MD Inc · Mililani, HI

Active · expires Feb 9, 2028

CLIA Number12D2108755

Laboratory TypePhysician Office

Certificate Effective DateFebruary 10, 2026

Certificate Expiration DateFebruary 9, 2028

Laboratory DirectorDr. Carlos A. Omphroy

Laboratory Phone(808) 625-5577

Laboratory LocationCarlos A Omphroy MD Inc95-720 Lanikuhana Ave Suite 110, Mililani, HI 96789

CLIA data matches this NPI record on: Address Phone

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

Areas of Expertise CMS Part B claims 17

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.

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.

538 services516 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.

448 services262 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

405 services404 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

315 services254 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.

207 services191 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).

153 services150 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.

66 services53 patients

Analysis of substance using immunoassay technique, multiple step method 83516

This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.

66 services31 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.

66 services53 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.

65 services58 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

59 services59 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

50 services43 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

43 services36 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.

40 services20 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.

30 services29 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.

24 services24 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96789 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.

89.59/100

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

Individually scored

Quality

100

Improvement Activities

Cost

65.32

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

100%28 patients5/55-star benchmark: 100%

Cataract Surgery: Difference Between Planned and Final Refraction

100%119 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%2,655 patients5/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%315 patients

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 20

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

KIMIKO MIYAKE LMT

Massage Therapist

95-720 LANIKUHANA AVE, STE 140
MILILANI, HI 96789

Honolulu County (808) 623-6244

NELSON YOSHIDA MT

Massage Therapist

95-720 LANIKUHANA AVE, STE 140
MILILANI, HI 96789

Honolulu County (808) 623-6244

DR. ANGELA SU DDS

Dentist (General Practice)

95-720 LANIKUHANA AVE, SUITE 270
MILILANI, HI 96789

Honolulu County (808) 623-7888

MRS. LYNNE ESTABILIO PT

Specialist

95-720 LANIKUHANA AVE, 140
MILILANI, HI 96789

Honolulu County (808) 623-6244

STAPHE T. FUJIMOTO, D.D.S., INC.

Dentist (General Practice)

95-720 LANIKUHANA AVE, 230
MILILANI, HI 96789

Honolulu County (808) 625-6333

GRACE MARIANO LMT

Massage Therapist

95-720 LANIKUHANA AVE, 140
MILILANI, HI 96789

Honolulu County (808) 623-6244

TAMMIE HARADA PT

Physical Therapist

95-720 LANIKUHANA AVE, 140
MILILANI, HI 96789

Honolulu County (808) 623-6244

SABRINA NAVA MT

Massage Therapist

95-720 LANIKUHANA AVE, 140
MILILANI, HI 96789

Honolulu County (808) 623-6244

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 Carlos Omphroy's NPI number?

The NPI number for Carlos Omphroy is 1437165396. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Carlos Omphroy located?

Carlos Omphroy practices at 95-720 Lanikuhana Ave Suite 110, Mililani, HI 96789. The listed phone number is (808) 625-5577.

What is Carlos Omphroy's specialty?

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

Is Carlos Omphroy enrolled in Medicare?

Yes. Carlos Omphroy 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.

Does Carlos Omphroy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2108755) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carlos Omphroy accept?

Health plans from HMSA list Carlos Omphroy 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 Carlos Omphroy was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

About Dr. Carlos A. Omphroy M. D. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 4

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 12D2108755

Areas of Expertise CMS Part B claims 17

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Carlos Omphroy's NPI number?

Where is Carlos Omphroy located?

What is Carlos Omphroy's specialty?

Is Carlos Omphroy enrolled in Medicare?

Does Carlos Omphroy hold a CLIA laboratory certificate?

What insurance does Carlos Omphroy accept?

When was this NPI record last updated?

Certificate of Waiver 12D2108755