JAMES C LAI M.D.
NPI 1871606186
Ophthalmology in Aiea, HI

Q: What is James Lai's NPI number?

The NPI number for James Lai is 1871606186. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is James Lai'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 James Lai was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 17, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

98-1079 MOANALUA RD, SUITE 470, AIEA, HI 96701(808) 487-8928(808) 487-3699 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About James C Lai M.d. NPPES

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

JAMES C LAI M.D. (NPI 1871606186) is an individual ophthalmology provider in Aiea, Hawaii, licensed in Hawaii (14115) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1996).

NPPES Registry Identity

NPI1871606186

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJAMES C LAICredential: M.D.

Location Address98-1079 MOANALUA RD, SUITE 470Aiea, HI 96701-4723

Mailing Address98-1079 Moanalua Rd, Suite 470Aiea, HI 96701-4723 · (808) 487-8928 · Fax (808) 487-3699

Phone(808) 487-8928

Fax(808) 487-3699

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1996

Enumeration DateAugust 17, 2006

Last NPPES UpdateJanuary 11, 2008

✔ NPI 1871606186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in HI · 14115

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.

98-1079 MOANALUA RD, Aiea, HI 96701

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Other Identifiers 3

Medicare UPINH16907HI

Medicaid59452401HI

Medicare PINH102465HI

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

James C Lai 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 ID6901890896

PECOS Enrollment IDI20070501000078

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 14

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.

19,261 services86 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.

1,766 services864 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.

1,171 services842 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.

804 services213 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.

728 services108 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.

577 services267 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.

289 services223 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

180 services165 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.

93 services93 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.

76 services37 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.

55 services54 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services36 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 services21 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96701 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

Reported Quality Measures

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

100%137 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.

RICHARD KLINE DO

Hospitalist

98-1079 MOANALUA RD
AIEA, HI 96701

Honolulu County (808) 486-6000

DR. DAWN A. MIURA M.D.

Internal Medicine

98-1079 MOANALUA RD, SUITE 350
AIEA, HI 96701

Honolulu County (808) 487-2277

DR. MICHAEL WAYNE CHAN M.D.

Internal Medicine (Cardiovascular Disease)

98-1079 MOANALUA RD, SUITE 655
AIEA, HI 96701

Honolulu County (808) 486-6200

ROBERT CANONICO DO

Emergency Medicine

98-1079 MOANALUA RD
AIEA, HI 96701

Honolulu County (330) 493-4443

MCKENZIE ROBLEDO RN, BSN

Registered Nurse

98-1079 MOANALUA RD
AIEA, HI 96701

Honolulu County (808) 485-4437

PALI MOMI MEDICAL CENTER

General Acute Care Hospital

98-1079 MOANALUA RD
AIEA, HI 96701

Honolulu County (808) 486-6000

SHAYNE MARK CASTANERA M.D.

Internal Medicine

98-1079 MOANALUA RD
AIEA, HI 96701

Honolulu County (808) 486-6000

KY LE LLC

Family Medicine

98-1079 MOANALUA RD
AIEA, HI 96701

Honolulu County (808) 536-0300

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 James Lai's NPI number?

The NPI number for James Lai is 1871606186. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is James Lai located?

James Lai practices at 98-1079 Moanalua Rd Suite 470, Aiea, HI 96701. The listed phone number is (808) 487-8928.

What is James Lai's specialty?

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

Is James Lai enrolled in Medicare?

Yes. James Lai 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 James Lai accept?

Health plans from HMSA list James Lai 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 James Lai was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.