MRS. KRISTA MOLISON CLONTZ ANP
NPI 1093955726
Nurse Practitioner - Adult Health in Buffalo, NY

Active since February 20, 2009PECOS EnrolledAccepts Medicare Assignment
87.14/100
CMS Quality Rating
85 HIGH ST, BUFFALO, BUFFALO, NY 14203(716) 630-1000(716) 630-1054 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2019, Aug 21, 2019 (2 updates tracked since 2019).

About Mrs. Krista Molison Clontz Anp NPPES

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

MRS. KRISTA MOLISON CLONTZ ANP (NPI 1093955726) is an individual adult health provider in Buffalo, New York, licensed in New York (305074) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093955726
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KRISTA MOLISON CLONTZCredential: ANP
Location Address85 HIGH ST, BUFFALOBuffalo, NY 14203-1149
Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219 · Fax (716) 817-1726
Fax(716) 630-1054
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 20, 2009
Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration
NPI 1093955726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 305074
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 426857 (NY)
85 HIGH ST, Buffalo, NY 14203

Secondary Practice Locations 2

Location 13900 N Buffalo Rd.Williamsville, NY 14221 · Phone (716) 630-1000
Location 2295 Essjay RdWilliamsville, NY 14221-8216 · Phone (716) 630-1000

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

Mrs. Krista Molison Clontz Anp 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 ID7315091840
PECOS Enrollment IDI20090819000140
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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
144 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
64 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
40 services17 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
28 services17 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
24 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

87.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.29
Promoting Interoperability100
Improvement Activities40
Cost74.86

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
85 HIGH ST
BUFFALO, NY 14203
Internal Medicine
85 HIGH ST
BUFFALO, NY 14203
Internal Medicine
85 HIGH ST
BUFFALO, NY 14203
Physician Assistant (Medical)
85 HIGH ST
BUFFALO, NY 14203
Physician Assistant
85 HIGH ST
BUFFALO, NY 14203
Internal Medicine
85 HIGH ST
BUFFALO, NY 14203
Hospitalist
85 HIGH ST
BUFFALO, NY 14203
Hospitalist
85 HIGH ST
BUFFALO, NY 14203

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 Krista Clontz's NPI number?

The NPI number for Krista Clontz is 1093955726. It was assigned to this individual provider in the NPPES registry on February 20, 2009.

Where is Krista Clontz located?

Krista Clontz practices at 85 High St Buffalo, Buffalo, NY 14203. The listed phone number is (716) 630-1000.

What is Krista Clontz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Krista Clontz enrolled in Medicare?

Yes. Krista Clontz 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.

Is Krista Clontz affiliated with any hospitals?

According to CMS data, Krista Clontz is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Krista Clontz was last updated on December 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.