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DR. MIKI LYN ZILNICKI O.D.
NPI 1063852986
Optometrist in Riverhead, NY

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
25 CRANBERRY ST, SUITE A, RIVERHEAD, NY 11901(631) 740-9384(631) 740-9385 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Miki Lyn Zilnicki O.d. NPPES

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

DR. MIKI LYN ZILNICKI O.D. (NPI 1063852986) is an individual optometrist in Riverhead, New York, licensed in New York (TUV007991-1) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2013).

NPPES Registry Identity

NPI1063852986
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MIKI LYN ZILNICKICredential: O.D.
Location Address25 CRANBERRY ST, SUITE ARiverhead, NY 11901-2762
Mailing Address25 Cranberry St, Suite ARiverhead, NY 11901-2762 · (631) 740-9384 · Fax (631) 740-9385
Phone(631) 740-9384
Fax(631) 740-9385
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2013
Enumeration DateJune 25, 2013
Last NPPES UpdateMarch 15, 2017
✔ NPI 1063852986 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 NY · TUV007991-1
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.
25 CRANBERRY ST, Riverhead, NY 11901
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Other Identifiers 1

Medicare PINA400131250NY

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.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

Dr. Miki Lyn Zilnicki 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 ID3072820950
PECOS Enrollment IDI20151103001139
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 9

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.

Eye training exercise performed by health care professional 92065
Eye training exercises help improve vision and eye health. These exercises can strengthen eye muscles, enhance coordination, and train the brain to use eyes more effectively. They may involve focusing on different distances, moving the eyes in various directions, or covering one eye at a time.
202 services24 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.
166 services26 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.
140 services73 patients
Exam to measure eye deviation and range of motion 92060
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.
89 services49 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.
51 services44 patients
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.
45 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%20 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%20 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.

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 Miki Zilnicki's NPI number?

The NPI number for Miki Zilnicki is 1063852986. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Miki Zilnicki located?

Miki Zilnicki practices at 25 Cranberry St Suite A, Riverhead, NY 11901. The listed phone number is (631) 740-9384.

What is Miki Zilnicki's specialty?

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

Is Miki Zilnicki enrolled in Medicare?

Yes. Miki Zilnicki 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 Miki Zilnicki accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Miki Zilnicki 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 Miki Zilnicki was last updated on March 15, 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.