DR. MARK E TAFOYA MD
NPI 1639233448
Ophthalmology in Waipahu, HI

Q: What is Mark Tafoya's NPI number?

The NPI number for Mark Tafoya is 1639233448. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Mark Tafoya'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 Mark Tafoya was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 19, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

94-849 LUMIAINA ST, SUITE 102, WAIPAHU, HI 96797(808) 676-4772(808) 676-8772 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2020, Mar 31, 2017 (2 updates tracked since 2017).

On this page

About Dr. Mark E Tafoya Md NPPES

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

DR. MARK E TAFOYA MD (NPI 1639233448) is an individual ophthalmology provider in Waipahu, Hawaii, licensed in Hawaii (MD-11913) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Pali Momi Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1995).

NPPES Registry Identity

NPI1639233448

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARK E TAFOYACredential: MD

Location Address94-849 LUMIAINA ST, SUITE 102Waipahu, HI 96797-5025

Mailing Address94-849 Lumiaina St, Suite 102Waipahu, HI 96797-5025 · (808) 676-4772 · Fax (808) 676-8772

Phone(808) 676-4772

Fax(808) 676-8772

Sole ProprietorYes

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1995

Enumeration DateDecember 19, 2006

Last NPPES UpdateJune 26, 20202 updates tracked since enumeration

NPPES CertifiedJune 26, 2020

✔ NPI 1639233448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in HI · MD-11913

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.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License MD-11913 (HI)

94-849 LUMIAINA ST, Waipahu, HI 96797

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Other Identifiers 2

Medicaid517724-01HI

Other0000237289HI · Hmsa Billing Number

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. Mark E Tafoya 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 ID3870647522

PECOS Enrollment IDI20090815000036

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 15

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, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

5,400 services19 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.

805 services481 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.

697 services518 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.

530 services195 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

373 services161 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

262 services68 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

212 services43 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.

82 services82 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

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.

60 services43 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.

48 services39 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

45 services27 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.

36 services34 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.

22 services20 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

18 services15 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120026

Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96797 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.

100/100

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

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

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

99%344 patients4/55-star benchmark: 100%

Diabetes: Eye Exam

100%784 patients5/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

100%162 patients

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

97%664 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%4,191 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

99%1,114 patients4/55-star benchmark: 100%

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

Patients combinedPopulations: 100% · 1,063 patients

Patients screened: 100% · 1,063 patients

99%114 patients4/55-star benchmark: 100%

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

100%305 patients

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

100%270 patients

Tobacco Use and Help with Quitting Among Adolescents

100%23 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 7

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

KA WAI OLA FAMILY MEDICAL CLINIC, LLC

Family Medicine

94-849 LUMIAINA ST, WAIKELE PROFESSIONAL CENTER SUITE #207
WAIPAHU, HI 96797

Honolulu County (808) 286-7390

DR. JAMES KEN OKAMOTO MD

Family Medicine

94-849 LUMIAINA ST, WAIKELE PROFESSIONAL CTR, SUITE 207
WAIPAHU, HI 96797

Honolulu County (808) 677-8222

DRS KUWABARA ISHIHARA ISHIMOTO & ARAKAKI OPTOMETRISTS INC

Optometrist

94-849 LUMIAINA ST, SUITE 103
WAIPAHU, HI 96797

Honolulu County (808) 671-1656

KA WAI OLA FAMILY MEDICAL CLINIC, LLC

Non-Pharmacy Dispensing Site

94-849 LUMIAINA ST, UNIT 207
WAIPAHU, HI 96797

Honolulu County (808) 677-8222

PACIFIC RETINA CARE. LLC

Ophthalmology

94-849 LUMIAINA ST, SUITE 102
WAIPAHU, HI 96797

Honolulu County (808) 676-4772

CHERIELYNE DE LEON PHARMD, RPH

Pharmacist

94-849 LUMIAINA ST
WAIPAHU, HI 96797

Honolulu County (808) 664-7730

JACO REHAB WAIKELE LLC

Physical Therapist

94-849 LUMIAINA ST, SUITE 101
WAIPAHU, HI 96797

Honolulu County (808) 536-8947

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 Mark Tafoya's NPI number?

The NPI number for Mark Tafoya is 1639233448. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Mark Tafoya located?

Mark Tafoya practices at 94-849 Lumiaina St Suite 102, Waipahu, HI 96797. The listed phone number is (808) 676-4772.

What is Mark Tafoya's specialty?

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

Is Mark Tafoya enrolled in Medicare?

Yes. Mark Tafoya 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 Mark Tafoya accept?

Health plans from HMSA list Mark Tafoya 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 Mark Tafoya affiliated with any hospitals?

According to CMS data, Mark Tafoya is affiliated with Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Tafoya was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.