1. Home
  2. Directory
  3. Hawaii
  4. Makawao
  5. Optometrist
  6. NPI Profile

MISS CARLYS MALIA REI HIGUCHI O.D.
NPI 1992727499
Optometrist in Makawao, HI

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
90.75/100
CMS Quality Rating
8 KIOPAA PL, SUITE 102, MAKAWAO, HI 96768(808) 214-9074 Get Directions Write a Review

NPPES record last updated: May 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Carlys Malia Rei Higuchi O.d. NPPES

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

MISS CARLYS MALIA REI HIGUCHI O.D. (NPI 1992727499) is an individual optometrist in Makawao, Hawaii, licensed in Hawaii (657) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2006).

NPPES Registry Identity

NPI1992727499
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMISS CARLYS MALIA REI HIGUCHICredential: O.D.
Location Address8 KIOPAA PL, SUITE 102Makawao, HI 96768-8283
Mailing Address24 Kiopaa Pl, Ste 102Makawao, HI 96768-8295 · (808) 214-9074
Phone(808) 214-9074
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2006
Enumeration DateJuly 24, 2006
Last NPPES UpdateMay 24, 2017
✔ NPI 1992727499 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 · 657
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.
8 KIOPAA PL, Makawao, HI 96768
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINV10753HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Miss Carlys Malia Rei Higuchi 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 ID547268757
PECOS Enrollment IDI20061127000106
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 10

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.
163 services160 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.
159 services102 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.
114 services114 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.
58 services56 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.
37 services31 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.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96768 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.

90.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.5
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
71%58 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
100%97 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
32%22 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
95%1,422 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
81%79 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%470 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

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

DR. MICHAEL LEONG O.D.
Optometrist
8 KIOPAA PL, SUITE 102
MAKAWAO, HI 96768
Maui County (808) 873-9588

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 Carlys Higuchi's NPI number?

The NPI number for Carlys Higuchi is 1992727499. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Carlys Higuchi located?

Carlys Higuchi practices at 8 Kiopaa Pl Suite 102, Makawao, HI 96768. The listed phone number is (808) 214-9074.

What is Carlys Higuchi's specialty?

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

Is Carlys Higuchi enrolled in Medicare?

Yes. Carlys Higuchi 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 Carlys Higuchi 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 Carlys Higuchi 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 Carlys Higuchi was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.