JON FUKUMOTO MD
NPI 1477663284
Internal Medicine - Hematology in Honolulu, HI

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
92.27/100
CMS Quality Rating
1329 LUSITANA ST STE 307, HONOLULU, HI 96813(808) 524-6115(808) 528-1711 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jon Fukumoto Md NPPES

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

JON FUKUMOTO MD (NPI 1477663284) is an individual hematology provider in Honolulu, Hawaii, licensed in Hawaii (MD 13701) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of New York University School Of Medicine (2000).

NPPES Registry Identity

NPI1477663284
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameJON FUKUMOTOCredential: MD
Location Address1329 LUSITANA ST STE 307Honolulu, HI 96813-2435
Mailing Address1329 Lusitana St Ste 307Honolulu, HI 96813-2435 · (808) 524-6115
Fax(808) 528-1711
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2000
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 18, 2019
NPI 1477663284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in HI · MD 13701
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
1329 LUSITANA ST STE 307, Honolulu, HI 96813

Other Identifiers 2

Other0000262758HI · Hmsa
Medicaid586125-01HI

Accepted 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

Jon Fukumoto Md 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 ID4981601374
PECOS Enrollment IDI20061027000053
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 25

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.

Injection, epoetin alfa, (for non-esrd use), 1000 units J0885
Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
3,669 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
858 services269 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
825 services266 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.
514 services203 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.
258 services93 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
217 services77 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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
$180.05 typical visit price
range $60.53 – $180.05
Typical copayment $45.01 (range $15.13 – $45.01)
Most-billed visit code 99205
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.

92.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.91
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
23%186 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
73%383 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
25%428 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
88%2,593 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
82%296 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
98%555 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
85%104 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
89%2,593 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
4%834 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
35%674 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 468 patients
Patients tobacco: 100% · 468 patients
100%37 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
35%834 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%834 patients1/55-star benchmark: 79%
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 5

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

Nurse Practitioner (Family)
1329 LUSITANA ST STE 307
HONOLULU, HI 96813
Internal Medicine (Hematology & Oncology)
1329 LUSITANA ST STE 307
HONOLULU, HI 96813
Internal Medicine (Hematology & Oncology)
1329 LUSITANA ST STE 307
HONOLULU, HI 96813
Internal Medicine (Hematology & Oncology)
1329 LUSITANA ST STE 307
HONOLULU, HI 96813
Internal Medicine (Hematology & Oncology)
1329 LUSITANA ST STE 307
HONOLULU, HI 96813

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 Jon Fukumoto's NPI number?

The NPI number for Jon Fukumoto is 1477663284. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Jon Fukumoto located?

Jon Fukumoto practices at 1329 Lusitana St Ste 307, Honolulu, HI 96813. The listed phone number is (808) 524-6115.

What is Jon Fukumoto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Jon Fukumoto enrolled in Medicare?

Yes. Jon Fukumoto 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.

What insurance does Jon Fukumoto accept?

Health plans from HMSA list Jon Fukumoto 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.

Is Jon Fukumoto affiliated with any hospitals?

According to CMS data, Jon Fukumoto is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Jon Fukumoto was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.