DR. KARSTEN L LEE O.D.
NPI 1851405906
Optometrist in Kahului, HI

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
91.23/100
CMS Quality Rating
101 PAKAULA ST, KAHULUI, HI 96732(808) 873-9588(808) 871-7812 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karsten L Lee O.d. NPPES

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

DR. KARSTEN L LEE O.D. (NPI 1851405906) is an individual optometrist in Kahului, Hawaii, licensed in Hawaii (606OD) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1851405906
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KARSTEN L LEECredential: O.D.
Location Address101 PAKAULA STKahului, HI 96732-3508
Mailing Address101 Pakaula StKahului, HI 96732-3508 · (808) 873-9588 · Fax (808) 871-7812
Fax(808) 871-7812
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1851405906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in HI · 606OD
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
101 PAKAULA ST, Kahului, HI 96732

Other Identifiers 1

Medicare ID-Type UnspecifiedV06974HI

Accepted 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. Karsten L Lee O.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 ID2163449497
PECOS Enrollment IDI20051026000932
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 11

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 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.
193 services182 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.
139 services137 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
96 services72 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.
42 services40 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
36 services35 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
36 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96732 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.

91.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.47
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
75%56 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
100%116 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
71%24 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
79%624 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%28 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%544 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 10

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

Pharmacist
101 PAKAULA ST
KAHULUI, HI 96732
Pharmacist
101 PAKAULA ST
KAHULUI, HI 96732
Eyewear Supplier
101 PAKAULA ST
KAHULUI, HI 96732
Technician/Technologist (Optician)
101 PAKAULA ST
KAHULUI, HI 96732
Pharmacy (Community/Retail Pharmacy)
101 PAKAULA ST
KAHULUI, HI 96732
Technician/Technologist (Optician)
101 PAKAULA ST
KAHULUI, HI 96732
Optometrist (Corneal and Contact Management)
101 PAKAULA ST
KAHULUI, HI 96732
Pharmacist
101 PAKAULA ST
KAHULUI, HI 96732

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 Karsten Lee's NPI number?

The NPI number for Karsten Lee is 1851405906. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Karsten Lee located?

Karsten Lee practices at 101 Pakaula St, Kahului, HI 96732. The listed phone number is (808) 873-9588.

What is Karsten Lee's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Karsten Lee enrolled in Medicare?

Yes. Karsten Lee 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 Karsten Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HMSA and Providence Health Plan list Karsten Lee 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 Karsten Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.