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DR. MARK KISTLER LUM M.D.
NPI 1679684443
Internal Medicine in Honolulu, HI

Active since August 31, 2006PECOS Enrolled
1380 LUSITANA ST, SUITE 804, HONOLULU, HI 96813(808) 524-3020(808) 524-8163 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mark Kistler Lum M.d. NPPES

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

DR. MARK KISTLER LUM M.D. (NPI 1679684443) is an individual internal medicine provider in Honolulu, Hawaii, licensed in Hawaii (4873) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679684443
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK KISTLER LUMCredential: M.D.
Location Address1380 LUSITANA ST, SUITE 804Honolulu, HI 96813-2421
Mailing Address1380 Lusitana St, Suite 804Honolulu, HI 96813-2421 · (808) 524-3020 · Fax (808) 524-8163
Phone(808) 524-3020
Fax(808) 524-8163
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 18, 2010
✔ NPI 1679684443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · 4873
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1380 LUSITANA ST, Honolulu, HI 96813
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified99-0181449
Medicare UPINF99831HI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Kistler Lum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mark Lum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Queens University Medical Group
0.1 mi
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000
The Queen's Medical Center
0.1 mi
General Acute Care Hospital
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: The Queens Medical Center
  • 809 clinicians in this Medicare group
NPI 1487693586 (808) 538-9011

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

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
$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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%322 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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims385 services$1.80 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims55 services$0.93 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier11 claims44 services$3.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers24 claims130 services$13.62 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers34 claims34 services$42.41 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers26 claims26 services$11.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GENE W DOO MD
Specialist
1380 LUSITANA ST, STE 1007
HONOLULU, HI 96813
Honolulu County (808) 521-2992
DR. DENNY L BALES M.D.
Specialist
1380 LUSITANA ST, SUITE 1002
HONOLULU, HI 96813
Honolulu County (808) 521-7402
DARRYL M KAN MD
Orthopaedic Surgery (Sports Medicine)
1380 LUSITANA ST, SUITE 608
HONOLULU, HI 96813
Honolulu County (808) 536-2261
DR. JON M PORTIS M.D.
Ophthalmology
1380 LUSITANA ST, STE 714
HONOLULU, HI 96813
Honolulu County (808) 528-5333
DR. MICHIKO KIMURA BRUNO M.D.
Psychiatry & Neurology (Neurology)
1380 LUSITANA ST, STE 705
HONOLULU, HI 96813
Honolulu County (808) 537-9105
RUZMED INC
Clinical Medical Laboratory
1380 LUSITANA ST, 804
HONOLULU, HI 96813
Honolulu County (888) 624-6514
BIANCA BRYANT-GREENWOOD MD INC
Family Medicine
1380 LUSITANA ST, SUITE 509
HONOLULU, HI 96813
Honolulu County (808) 888-8320
MICHON MORITA MD
Neurological Surgery
1380 LUSITANA ST, #712
HONOLULU, HI 96813
Honolulu County (808) 529-0508

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 Lum's NPI number?

The NPI number for Mark Lum is 1679684443. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mark Lum located?

Mark Lum practices at 1380 Lusitana St Suite 804, Honolulu, HI 96813. The listed phone number is (808) 524-3020.

What is Mark Lum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Lum enrolled in Medicare?

Yes. Mark Lum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Lum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Lum reassigns Medicare benefits to 2 organizations: Queens University Medical Group (Honolulu, HI) and The Queen's Medical Center (Honolulu, HI). 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 Mark Lum'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 Mark Lum was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.