DR. JIVIN GERARD TANTISIRA (M.D.) – Ophthalmology Physician, NPI 1104889583
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 OPHTHALMOLOGY in HI
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Provider Addresses for DR. JIVIN GERARD TANTISIRA (M.D.)
450 HOOKAHI ST
WAILUKU, HI 967931474
Phone: (808) 877-3984
Fax: (808) 871-6498
Type: Mailing
450, Hookahi Street, Paukukalo, Wailuku, Maui County, Hawaii, 96793, United States
WAILUKU, HI 967931447
Phone: (808) 877-3984
Fax: (808) 871-6498
Type: Location
634, Anela Place, Wailuku Heights, Wailuku, Maui County, Hawaii, 96793, United States
WAILUKU, HI 967931518
Phone: (808) 242-4436
Fax: (808) 871-6498
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $2,722.
Total Amount is formed as General ($2,722) + Research ($0) + Ownership ($0) = $2,722.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: ABBVIE INC. ($896).
Total Amount
$2,722
General + Research + Ownership
Payments
61
Total payment records
General Amount
$2,722
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $896 |
| RxSight Inc | $437 |
| Alcon Vision LLC | $310 |
| Horizon Therapeutics plc | $239 |
| Oyster Point Pharma, Inc. | $161 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-08-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090813000614 | I | Ophthalmology | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92134 | Imaging of retina | 446 | 396 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 409 | 266 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 316 | 132 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 191 | 123 | $0 |
| 83861 | Microfluid analysis of tears | 165 | 81 | $0 |
Insurance plans in this area (ZIP 96793)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | HI | |
| O P T O M E T R Y | HI | |
| - | HI | |
| O P H T H A L M O L O G Y | HI | |
| - | HI | |
| O P T O M E T R Y | HI | |
| O P H T H A L M O L O G Y | HI | |
| O P T O M E T R Y | HI | |
| O P T O M E T R Y | HI | |
| O P T O M E T R Y | CO |
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