DR. JOHN SCOTT KORTVELESY M.D.
NPI 1710082813
Ophthalmology in Honolulu, HI


Quality Rating: 83.28 out of 100 score

NPI Status: Active since September 13, 2006

Contact Information

888 S KING ST
HONOLULU, HI
ZIP 96813
Phone: (808) 522-4430
Fax: (808) 522-4431

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  • Individual
  • Male
  • Years of Experience 44
  • Ophthalmology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOHN KORTVELESY

This page provides the complete NPI Profile along with additional information for John Kortvelesy, a provider established in Honolulu, Hawaii with a medical specialization in Ophthalmology and more than 44 years of experience. The healthcare provider is registered in the NPI registry with number 1710082813 assigned on September 2006. The practitioner's primary taxonomy code is 207W00000X with license number MD-6323 (HI). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1710082813
Provider Name
DR. JOHN SCOTT KORTVELESY M.D.
Gender
Male
Entity Type
Individual
Location Address
888 S KING ST HONOLULU, HI 96813
Location Phone
(808) 522-4430
Location Fax
(808) 522-4431
Mailing Address
888 S KING ST STRAUB DEPARTMENT OF OPHTHALMOLOGY HONOLULU, HI 96813
Mailing Phone
(808) 522-4430
Mailing Fax
(808) 522-4431
Medical School Name
OTHER
Graduation Year
1982
Is Sole Proprietor?
No
Enumeration Date
09-13-2006
Last Update Date
09-15-2010
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Ophthalmologists like John Kortvelesy specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD-6323
License State
HI
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1552444OTHER (01)HIUHA
D71300MEDICARE UPIN (02)HI 
0000035352OTHER (01)HIHMSA
03192101MEDICAID (05)HI 
53942MEDICARE ID-TYPE UNSPECIFIED (04)HI 

Medicare Participation & PECOS Enrollment Status

John Kortvelesy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

John Kortvelesy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2264560507

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100507000258

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cataract surgery

Cataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.

This service was performed for 13 patients

Established patient complete exam of visual system

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.

This service was performed 357 times for 351 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 60 times for 47 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 184 times for 112 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 22 times for 18 patients

Established patient problem focused exam of visual system

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.

This service was performed 17 times for 16 patients

Exam of visual field with extended testing

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.

This service was performed 67 times for 61 patients

Exam to measure eye deviation and range of motion

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

This service was performed 124 times for 87 patients

Imaging of optic nerve

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

This service was performed 53 times for 52 patients

Imaging of retina

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.

This service was performed 20 times for 20 patients

Injection of chemical for paralysis of nerve muscles on side of face

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

This service was performed 103 times for 24 patients

New patient complete exam of visual system

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

This service was performed 31 times for 31 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 16 times for 16 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 16 times for 16 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 15 times for 13 patients

Ultrasound scan of cornea to determine thickness

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

This service was performed 11 times for 11 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $34.17 for a new patient copayment and $18.73 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 96813 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $136.68
  • Minimum New Patient Price $60.53
  • Maximum New Patient Price $180.05
  • Average New Patient Copayment $34.17
  • Minimum New Patient Copayment $15.13
  • Maximum New Patient Copayment $45.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.92
  • Minimum Established Patient Price $20.09
  • Maximum Established Patient Price $147.56
  • Average Established Patient Copayment $18.73
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $36.89

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 83.28, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 83.28 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 79.58

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 64.69

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 64.69

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Kortvelesy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
STRAUB CLINIC AND HOSPITAL888 S KING STREET
HONOLULU, HI 96813
(808) 522-4000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710082813
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272008482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 0 + 8 + 4 + 8 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1710082813 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629058987DR. JONATHAN CHEONG GOCHU M.D.
Individual
Internal Medicine (Gastroenterology)888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1336198530MR. MICHAEL STETTNER PA
Individual
Physician Assistant (Medical)888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1083655153 CHRISTOPHER G APOSTOLIDES PA
Individual
Physician Assistant888 S KING ST
HONOLULU, HI 96813
(240) 476-9324
1942244900 TODD A MILLER M.D.
Individual
Urology888 S KING ST ATTN: MEDICAL STAFF - STRAUB CLINIC AND HOPSITAL
HONOLULU, HI 96813
(808) 522-4301
1821024985DR. MONTE F. ELIAS M.D.
Individual
Emergency Medicine888 S KING ST STRAUB CLINIC AND HOSPITAL
HONOLULU, HI 96813
(808) 522-4000
1790799393DR. C GALEN CHOY M.D.
Individual
Internal Medicine (Hematology & Oncology)888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1417961038DR. REUBEN C. GUERRERO M.D.
Individual
Internal Medicine (Medical Oncology)888 S KING ST
HONOLULU, HI 96813
(808) 522-4333
1821002460DR. RANDAL J. LIU M.D.
Individual
Internal Medicine888 S KING ST
HONOLULU, HI 96813
(808) 522-4333
1851302673 LESLEE ANN M STEVENSON M.D.
Individual
Internal Medicine888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1184635831 MELANIE KIM MD
Individual
Hospitalist888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1861500308DR. SADA OKUMURA M.D.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1003924580DR. BEAU K. NAKAMOTO M.D.
Individual
Psychiatry & Neurology (Neurology)888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1114035607DR. ALBERTO S. SANTOS-OCAMPO M.D.
Individual
Internal Medicine (Rheumatology)888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1386752889DR. JEN-CHENG ROY CHEN M.D.
Individual
Internal Medicine (Cardiovascular Disease)888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1235249327DR. AILEEN M. FELDMAN O.D.
Individual
Optometrist888 S KING ST
HONOLULU, HI 96813
(808) 522-4430
1396855482DR. STEFAN E. KARAS M.D.
Individual
Ophthalmology888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1699885954DR. LAWRENCE JOHN LOCKETT MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)888 S KING ST
HONOLULU, HI 96813
(808) 522-3830
1760592729DR. ROBERT W. SCHULZ M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)888 S KING ST
HONOLULU, HI 96813
(808) 522-4000
1427153634DR. MARK S. GERBER M.D.
Individual
Neurological Surgery888 S KING ST
HONOLULU, HI 96813
(808) 522-4476
1548365653DR. KENNETH SHAO-SUNG LEE O.D.
Individual
Optometrist888 S KING ST
HONOLULU, HI 96813
(808) 522-4430

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710082813, enumerated in the NPI registry as an "individual" on September 13, 2006

The provider is located at 888 S King St Honolulu, Hi 96813 and the phone number is (808) 522-4430

The provider's speciality is Ophthalmology with taxonomy code 207W00000X

The provider has more than 44 years of experience.

The provider might be accepting Accepts: HMSA, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $136.68 with an average copayment of $34.17 for new patient appointments. Established patients should expect a typical charge of $74.92 and an average copayment of 18.73. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Cataract surgery, Established patient complete exam of visual system, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Established patient problem focused exam of visual system, Exam of visual field with extended testing, Exam to measure eye deviation and range of motion, Imaging of optic nerve, Imaging of retina, Injection of chemical for paralysis of nerve muscles on side of face, New patient complete exam of visual system, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Removal of recurring cataract in lens capsule using a laser and Ultrasound scan of cornea to determine thickness.

The practitioner is affiliated to the following hospital(s): STRAUB CLINIC AND HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.