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DR. HUGO HIGA M.D.
NPI 1740331867
Ophthalmology in Honolulu, HI

Active since January 16, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 12D2037921 · Waiver
92.1/100
CMS Quality Rating
1441 KAPIOLANI BLVD, SUITE 1313, HONOLULU, HI 96814(808) 947-2020(808) 947-2088 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Hugo Higa M.d. NPPES

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

DR. HUGO HIGA M.D. (NPI 1740331867) is an individual ophthalmology provider in Honolulu, Hawaii, licensed in Hawaii (MD7972) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 7, 2028, and is a graduate of University Of Wisconsin School Of Medicine (1991).

NPPES Registry Identity

NPI1740331867
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. HUGO HIGACredential: M.D.
Location Address1441 KAPIOLANI BLVD, SUITE 1313Honolulu, HI 96814-4402
Mailing Address350 Ward Ave, Suite 106Honolulu, HI 96814-4010 · (808) 947-2020 · Fax (808) 947-2088
Phone(808) 947-2020
Fax(808) 947-2088
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1991
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740331867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in HI · MD7972
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.
1441 KAPIOLANI BLVD, Honolulu, HI 96814
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF58607HI
Medicare ID-Type Unspecified56814HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, HMSA, Providence Health Plan.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. Hugo Higa 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 ID6901885375
PECOS Enrollment IDI20040720000133
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 12D2037921

Hugo Higa MD, LLC · Honolulu, HI
Active · expires Mar 7, 2028
CLIA Number12D2037921
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorHugo Higa
Laboratory Phone(808) 947-2020
Laboratory LocationHugo Higa MD, LLC1600 Kapiolani Blvd Ste 105, Honolulu, HI 96814
CLIA data matches this NPI record on: Name 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.

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.
343 services197 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.
237 services212 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.
73 services25 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
73 services62 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.
54 services54 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
46 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 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.

92.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.89
Improvement Activities40
Cost76.49

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
41%44 patients2/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
95%44 patients4/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
95%180 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
99%143 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
98%43 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
100%43 patients5/55-star benchmark: 100%
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.
97%3,302 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%472 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
36%150 patients2/55-star benchmark: 90%
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%153 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: 91% · 562 patients
Patients tobacco: 85% · 562 patients
3%35 patients1/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
97%152 patients4/55-star benchmark: 100%
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…
0%1,522 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 742 patients
0%742 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 20

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

RIICHIRO SATO, D.M.D., PH.D.
Preferred Provider Organization
1441 KAPIOLANI BLVD, SUITE 722
HONOLULU, HI 96814
Honolulu County (808) 943-9338
DR. CHRISTINA NHU NGUYEN D.M.D.
Dentist (General Practice)
1441 KAPIOLANI BLVD, 1016
HONOLULU, HI 96814
Honolulu County (808) 943-8888
DEAN T. SUEDA DDS.MS, INC
Dentist (Pediatric Dentistry)
1441 KAPIOLANI BLVD, SUITE 617
HONOLULU, HI 96814
Honolulu County (808) 944-1603
CHIE NISHIMURA APRN
Nurse Practitioner (Family)
1441 KAPIOLANI BLVD, SUITE 2000
HONOLULU, HI 96814
Honolulu County (808) 945-3719
DR. TODD EDWARDS GOODE DDS
Dentist (General Practice)
1441 KAPIOLANI BLVD, SUITE 1304
HONALULU, HI 96814
Honolulu County (808) 955-0004
HANDS-ON PHYSICAL THERAPY, INC.
Physical Therapist
1441 KAPIOLANI BLVD, SUITE 1113
HONOLULU, HI 96814
Honolulu County (808) 218-3660
ERNEST KH LEE MD LLC
Internal Medicine (Cardiovascular Disease)
1441 KAPIOLANI BLVD, SUITE 610
HONOLULU, FL 96814
Honolulu County (808) 955-5929
MR. MARLON CLUTARIO PARATO DMD
Dentist
1441 KAPIOLANI BLVD, #917
HONOLULU, HI 96814
Honolulu County (808) 942-5639

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 Hugo Higa's NPI number?

The NPI number for Hugo Higa is 1740331867. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Hugo Higa located?

Hugo Higa practices at 1441 Kapiolani Blvd Suite 1313, Honolulu, HI 96814. The listed phone number is (808) 947-2020.

What is Hugo Higa's specialty?

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

Is Hugo Higa enrolled in Medicare?

Yes. Hugo Higa 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 Hugo Higa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2037921) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hugo Higa accept?

Health plans from BlueCross BlueShield of Tennessee, HMSA and Providence Health Plan list Hugo Higa 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 Hugo Higa was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.