DR. WAYNE SUSUMU MATSUYAMA (O.D.) – Optometrist, NPI 1750355764

DR. WAYNE SUSUMU MATSUYAMA (O.D.) is a healthcare provider. based in Aiea, Hawaii. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 130 (HI). The NPI Number for DR. WAYNE SUSUMU MATSUYAMA (O.D.) is 1750355764

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAYNE SUSUMU MATSUYAMA (O.D.)
NPI
1750355764
Phone
(808) 486-3937
Address
98-150 KAONOHI ST
Enumeration Date
15 February 2006
Last Update Date
20 September 2013

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8084863937
Graduation Year
1977 (49 years ago)
PAC ID
0547156788
Group Practice PAC ID
2365338597
Professional Enrollment ID
I20040408001218
Address ID
HI967015022AI98XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

236 OPTOMETRY in HI

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Provider Addresses for DR. WAYNE SUSUMU MATSUYAMA (O.D.)

  • Makino Chaya, 98-150, Kaonohi Street, Waimalu, Aiea, Honolulu County, Hawaii, 96701, United States

    SUITE B211

    AIEA, HI 967015047

    Phone: (808) 486-3937

    Fax: (808) 486-3386

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $986.

Total Amount is formed as General ($986) + Research ($0) + Ownership ($0) = $986.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($602).

Total Amount

$986

General + Research + Ownership

Payments

12

Total payment records

General Amount

$986

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040408001218IOptometryHITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina108108$0
92083Exam of visual field with extended testing4442$0
99212Established patient office or other outpatient visit, 10-19 minutes3122$0
92012Established patient problem focused exam of visual system1414$0
View full utilization report →

Insurance plans in this area (ZIP 96701)

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Provider's Procedures

DR. WAYNE SUSUMU MATSUYAMA (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYHI92083Measurement of field of vision during daylight conditions3835

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365338597View full group profile
NameSpecialtyState
O P T O M E T R YHI

Reviews

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Frequently asked questions

How is DR. WAYNE SUSUMU MATSUYAMA (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. WAYNE SUSUMU MATSUYAMA (O.D.) with NPI 1750355764.
Does CMS list DR. WAYNE SUSUMU MATSUYAMA (O.D.) as active?
Yes — DR. WAYNE SUSUMU MATSUYAMA (O.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. WAYNE SUSUMU MATSUYAMA (O.D.)?
For research purposes, treat DR. WAYNE SUSUMU MATSUYAMA (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. WAYNE SUSUMU MATSUYAMA (O.D.) based?
DR. WAYNE SUSUMU MATSUYAMA (O.D.) is tied to Aiea, Hawaii in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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