DR. MARK J FERRI DO
NPI 1811088065
Family Medicine in Kailua, HI
NPI Status: Active since September 27, 2006
Contact Information
122 ONEAWA ST
101
KAILUA, HI
ZIP 96734
Phone: (808) 263-4263
Fax: (808) 263-4263
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About MARK FERRI
This page provides the complete NPI Profile along with additional information for Mark Ferri, a primary care provider established in Kailua, Hawaii with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1811088065 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 965 (HI). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1811088065
- Provider Name
- DR. MARK J FERRI DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 122 ONEAWA ST 101 KAILUA, HI 96734
- Location Phone
- (808) 263-4263
- Location Fax
- (808) 263-4263
- Mailing Address
- 122 ONEAWA ST 101 KAILUA, HI 96734
- Mailing Phone
- (808) 263-4263
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-27-2006
- Last Update Date
- 02-10-2023
- Code Navigator
A primary care provider (PCP) like Mark Ferri sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Mark Ferri opted out of Medicare effective on 02-11-2024 until 02-11-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 965
- License State
- HI
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMSA Bronze PPO I - PPO
- HMSA Bronze PPO II HSA - PPO
- HMSA Catastrophic Plan - PPO
- HMSA Gold PPO I - PPO
- HMSA Gold PPO II - PPO
- HMSA Platinum PPO - PPO
- HMSA Silver PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0000238238 | OTHER (01) | HI | BLUE CROSS BLUE SHEILD |
| 841604196 | OTHER (01) | HI | SUMMERLIN |
| 841604196 | OTHER (01) | AARP | |
| HMAA | OTHER (01) | HI | 841604196 |
| 841604196 | OTHER (01) | HI | UNIVERSITY HEALTH ALLIANCE |
| 841604196 | OTHER (01) | HI | KAISER |
| 841604196 | OTHER (01) | HI | TRIWEST |
| 841604196 | OTHER (01) | HI | HMAA |
| 841604196 | OTHER (01) | HI | HMA, INC |
| 0187272 | OTHER (01) | HI | DEPT OF LABOR |
Medicare Participation & PECOS Enrollment Status
Mark Ferri is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-11-2024
Opt-Out End Date: 02-11-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
Osteopathic manipulative treatment, 7-8 body regions
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.
This service was performed 392 times for 63 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 13 times for 13 patientsOsteopathic Manipulative Treatment (OMT) is a hands-on method where physicians use precise movements to diagnose, treat, and prevent illness or injury. In a 7-8 body regions OMT, the doctor focuses on multiple areas, such as the head, neck, back, or limbs, to enhance your body's natural healing process.
This service was performed 382 times for 44 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 96734 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $92.5
- Minimum New Patient Price $60.53
- Maximum New Patient Price $180.05
- Average New Patient Copayment $23.12
- Minimum New Patient Copayment $15.13
- Maximum New Patient Copayment $45.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.65
- Minimum Established Patient Price $20.09
- Maximum Established Patient Price $147.56
- Average Established Patient Copayment $26.41
- Minimum Established Patient Copayment $5.02
- Maximum Established Patient Copayment $36.89
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811088065, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811088065, enumerated as an "individual" on September 27, 2006.
The provider is located at 122 ONEAWA ST 101 KAILUA, HI 96734 and the phone number is (808) 263-4263.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: HMSA, Blue Cross Blue Shield, Medicare, Medicaid. Please consult your insurance carrier or call the provider to verify.
