DR. ASHLEY ROSE PIILANI MAEKAWA O.D.
NPI 1992250955
Optometrist in Kamuela, HI

Active since August 19, 2016PECOS EnrolledAccepts Medicare Assignment
97.96/100
CMS Quality Rating
65-1227B OPELO RD STE 5, KAMUELA, HI 96743(808) 885-4000(808) 885-7079 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 5, 2019, Sep 15, 2017, Aug 19, 2016 (3 updates tracked since 2016).

About Dr. Ashley Rose Piilani Maekawa O.d. NPPES

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

DR. ASHLEY ROSE PIILANI MAEKAWA O.D. (NPI 1992250955) is an individual optometrist in Kamuela, Hawaii, licensed in Hawaii (OD-841) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2016).

NPPES Registry Identity

NPI1992250955
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ASHLEY ROSE PIILANI MAEKAWACredential: O.D.
Location Address65-1227B OPELO RD STE 5Kamuela, HI 96743-8443
Mailing AddressMsc 61219 P.o. Box 1300Honolulu, HI 96807-1300 · (808) 885-4000 · Fax (808) 885-7079
Fax(808) 885-7079
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2016
Enumeration DateAugust 19, 2016
Last NPPES UpdateNovember 5, 20193 updates tracked since enumeration
NPI 1992250955 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 · OD-841
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.

65-1227B OPELO RD STE 5, Kamuela, HI 96743

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. Ashley Rose Piilani Maekawa 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 ID446523633
PECOS Enrollment IDI20170911001458
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 13

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.
277 services277 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.
128 services93 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.
117 services95 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.
110 services100 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.
75 services49 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.
69 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96743 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.

97.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.93
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
70%125 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
100%212 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
95%37 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,487 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
98%66 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%764 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 4

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

Optometrist
65-1227B OPELO RD STE 5
KAMUELA, HI 96743
Optometrist
65-1227B OPELO RD STE 5
KAMUELA, HI 96743
Student in an Organized Health Care Education/Training Program
65-1227B OPELO RD STE 5
KAMUELA, HI 96743
Optometrist
65-1227B OPELO RD STE 5
KAMUELA, HI 96743

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 Ashley Maekawa's NPI number?

The NPI number for Ashley Maekawa is 1992250955. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Where is Ashley Maekawa located?

Ashley Maekawa practices at 65-1227b Opelo Rd Ste 5, Kamuela, HI 96743. The listed phone number is (808) 885-4000.

What is Ashley Maekawa's specialty?

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

Is Ashley Maekawa enrolled in Medicare?

Yes. Ashley Maekawa 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 Ashley Maekawa accept?

Health plans from Providence Health Plan list Ashley Maekawa 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 Ashley Maekawa was last updated on November 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.