ELYSSE TOM M.D.
NPI 1659806594
Ophthalmology in Honolulu, HI

Q: What is Elysse Tom's NPI number?

The NPI number for Elysse Tom is 1659806594. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Q: What is Elysse Tom'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 Elysse Tom was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 28, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1356 LUSITANA ST, 7TH FLOOR, HONOLULU, HI 96813(808) 586-7477 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, Apr 28, 2017 (2 updates tracked since 2017).

On this page

About Elysse Tom M.d. NPPES

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

ELYSSE TOM M.D. (NPI 1659806594) is an individual ophthalmology provider in Honolulu, Hawaii, licensed in Hawaii (23319) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Pali Momi Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2017).

NPPES Registry Identity

NPI1659806594

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameELYSSE TOMCredential: M.D.

Location Address1356 LUSITANA ST, 7TH FLOORHonolulu, HI 96813-2409

Mailing Address1356 Lusitana St, 7th FloorHonolulu, HI 96813-2409

Phone(808) 586-7477

Sole ProprietorNo

Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2017

Enumeration DateApril 28, 2017

Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1659806594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in HI · 23319

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.

1356 LUSITANA ST, Honolulu, HI 96813

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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

Elysse Tom 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 ID4385994201

PECOS Enrollment IDI20230912003303

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 16

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.

7,500 services53 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.

952 services440 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.

578 services211 patients

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.

574 services291 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.

540 services108 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.

280 services233 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.

242 services242 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

174 services80 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.

123 services120 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.

36 services25 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

35 services35 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

25 services25 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

15 services14 patients

Suture of iris and lens 66682

A suture of iris and lens is a surgical procedure aimed at repairing damage to the iris and lens of your eye. This involves using tiny, specialized stitches to reposition or stabilize these parts. It's commonly performed after eye injuries or certain eye surgeries.

14 services14 patients

Insertion of prosthetic lens 66985

The insertion of a prosthetic lens is a procedure performed to improve vision. This involves replacing the natural lens of the eye, which may be damaged or impaired, with an artificial one. The process is typically quick, safe, and can greatly enhance your quality of life.

14 services14 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

13 services13 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 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

$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

Scored as part of a group practice

Quality

100

Improvement Activities

Leave this field empty

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.

DANIEL A. ALICATA M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1356 LUSITANA ST, 4TH FLOOR
HONOLULU, HI 96813

Honolulu County (808) 586-2900

CHASE H WARASHINA MD

Internal Medicine

1356 LUSITANA ST
HONOLULU, HI 96813

Honolulu County (808) 457-7930

ASHLEY DAVIDSON MARUMOTO

Surgery

1356 LUSITANA ST, SIXTH FLOOR
HONOLULU, HI 96813

Honolulu County (808) 586-2920

DR. LOUISE A ZITNIK M.D., PH.D.

Student in an Organized Health Care Education/Training Program

1356 LUSITANA ST, 4TH FLOOR
HONOLULU, HI 96813

Honolulu County (808) 586-2900

THEODORE CHANG D.O.

Student in an Organized Health Care Education/Training Program

1356 LUSITANA ST, STE. 510
HONOLULU, HI 96813

Honolulu County (808) 586-2890

DR. SHAYLIN P.Y.K. CHOCK M.D.

Psychiatry & Neurology (Psychiatry)

1356 LUSITANA ST, 4TH FL.
HONOLULU, HI 96813

Honolulu County (808) 586-2900

FUMIHIRO KODAMA

Internal Medicine

1356 LUSITANA ST, ROOM705
HONOLULU, HI 96813

Honolulu County (808) 586-2910

EDISON SO M.D.

Student in an Organized Health Care Education/Training Program

1356 LUSITANA ST
HONOLULU, HI 96813

Honolulu County (808) 586-7482

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 Elysse Tom's NPI number?

The NPI number for Elysse Tom is 1659806594. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Elysse Tom located?

Elysse Tom practices at 1356 Lusitana St 7th Floor, Honolulu, HI 96813. The listed phone number is (808) 586-7477.

What is Elysse Tom's specialty?

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

Is Elysse Tom enrolled in Medicare?

Yes. Elysse Tom 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 Elysse Tom accept?

Health plans from HMSA list Elysse Tom 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 Elysse Tom affiliated with any hospitals?

According to CMS data, Elysse Tom is affiliated with Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Elysse Tom was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.