Doctor profile · Federal record
Dr. Jivin Tantisira, M.D.
Ophthalmology Physician (CMS: Ophthalmology) · Wailuku, HI
- NPI 1104889583
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 39 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
450 Hookahi St
Wailuku, HI 967931447
(808) 877-3984
fax (808) 871-6498
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- August 30, 2023
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207W00000X — NUCC code
- State license (1)
- Hawaii #MD 9427
- Medicaid
- HI #00264901
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104889583. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,668
Distinct HCPCS
10
Medicare allowed
$317,652
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92134 |
Imaging of retina | 446 | 396 | $42 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 409 | 266 | $94 | |
92136 |
Measurement of corneal curvature and depth of eye | 316 | 132 | $26 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 191 | 123 | $552 | |
83861 |
Microfluid analysis of tears | 165 | 81 | $22 | |
92014 |
Established patient complete exam of visual system | 165 | 158 | $135 | |
92083 |
Exam of visual field with extended testing | 161 | 116 | $68 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 151 | 143 | $133 | |
92133 |
Imaging of optic nerve | 104 | 87 | $38 | |
92012 |
Established patient problem focused exam of visual system | 102 | 84 | $97 |
In context: peer comparison
Among 4 peers in Wailuku Ophthalmology Physician, average services per provider: 117. This provider delivers 23× the peer median.Open Payments
Industry payments received
All-time total
$1,414
Transactions
32
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 14 | $576.92 | |
| RxSight INC | 7 | $289.03 | |
| Alcon Vision LLC | 6 | $181.59 | |
| Amgen INC. | 1 | $149.27 | |
| Bausch & Lomb Americas INC. | 1 | $144.34 | |
| Oyster Point Pharma, INC. | 2 | $54.19 | |
| Tarsus Pharmaceuticals, INC. | 1 | $19.09 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,314
Patients
1,288
Total drug cost
$214,906
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisolone Acetate | Generic | 717 | 415 | $29,414 |
| Ciprofloxacin Hcl | Generic | 545 | 377 | $5,771 |
| Latanoprost | Generic | 216 | 64 | $4,593 |
| Ketorolac Tromethamine | Generic | 176 | 116 | $3,711 |
| Prolensa (Bromfenac Sodium) | Brand | 171 | 121 | $58,550 |
| Timolol Maleate | Generic | 93 | 30 | $3,570 |
| Diclofenac Sodium | Generic | 83 | 53 | $936 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 69 | 21 | $1,336 |
| Difluprednate | Generic | 52 | 28 | $8,341 |
| Rocklatan (Netarsudil Mesylat/Latanoprost) | Brand | 48 | 12 | $24,532 |
Frequently asked questions
What is Dr. Jivin Tantisira's medical specialty?
Dr. Jivin Tantisira practices Ophthalmology Physician in Wailuku, HI.
Where does Dr. Jivin Tantisira practice?
Dr. Jivin Tantisira practices at 450 Hookahi St, Wailuku, HI 967931447. Office phone: 8088773984.
What is Dr. Jivin Tantisira's NPI?
Dr. Jivin Tantisira's National Provider Identifier (NPI) is 1104889583, issued by NPPES.
Does Dr. Jivin Tantisira accept Medicare assignment?
Yes. Dr. Jivin Tantisira accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jivin Tantisira commonly perform?
Top Medicare-reported procedures in 2023: Imaging of retina (HCPCS 92134); Established patient office or other outpatient visit (HCPCS 99213); Measurement of corneal curvature and depth of eye (HCPCS 92136). Source: CMS Medicare Physician & Other Practitioners file.