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DR. LESLEY KRAUS OD
NPI 1104829795
Optometrist in Hazlet, NJ

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
3013 HWY 35, HAZLET, NJ 07730(732) 739-4000(732) 739-4002 Get Directions Write a Review

NPPES record last updated: November 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2022, Apr 23, 2021 (2 updates tracked since 2021).

About Dr. Lesley Kraus Od NPPES

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

DR. LESLEY KRAUS OD (NPI 1104829795) is an individual optometrist in Hazlet, New Jersey, licensed in New Jersey (270A00570800) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of State University Of New York - State College Optometry (1991).

NPPES Registry Identity

NPI1104829795
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LESLEY KRAUSCredential: OD
Location Address3013 HWY 35Hazlet, NJ 07730
Mailing AddressPo Box 2089444Dallas, TX 75320-0001 · (636) 200-4393 · Fax (636) 527-0766
Phone(732) 739-4000
Fax(732) 739-4002
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 1991
Enumeration DateMay 27, 2005
Last NPPES UpdateNovember 19, 20222 updates tracked since enumeration
NPPES CertifiedNovember 19, 2022
✔ NPI 1104829795 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 NJ · 270A00570800
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.
3013 HWY 35, Hazlet, NJ 07730
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1443 Route 34 Ste FMatawan, NJ 07747-9506 · Phone (732) 583-3600 · Fax (732) 812-4508
Location 22204 Highway 35 Ste 9Sea Girt, NJ 08750-2323 · Phone (732) 223-2800 · Fax (732) 223-5121
Location 3786 Highway 35Middletown, NJ 07748-3410 · Phone (732) 671-7300 · Fax (732) 706-1605
Location 435 Monmouth StRed Bank, NJ 07701-1613 · Phone (732) 530-5151 · Fax (732) 842-6629
Location 51001 Route 70 Unit B1Manchester, NJ 08759-5804 · Phone (732) 657-1400 · Fax (732) 657-1402
Location 6178 Highway 35Eatontown, NJ 07724-1883 · Phone (732) 542-3050 · Fax (732) 542-5999
Location 7359 Brick BlvdBrick, NJ 08723-6010 · Phone (732) 920-1330 · Fax (732) 920-1370

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Lesley Kraus Od 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 ID6103808605
PECOS Enrollment IDI20050811000303
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 4

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.

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.
117 services112 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.
96 services95 patients
New patient complete exam of visual system 92004
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.
18 services18 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07730 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%78 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
70%23 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%2,057 patients5/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,057 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,057 patients1/55-star benchmark: 59%
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.

Other Providers at the Same Location NPPES 3

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

OPTOMETRIC PHYSICIANS OF MIDDLETOWN PA
Optometrist
3013 HWY 35
HAZLET, NJ 07730
Monmouth County (732) 739-4000
DR. TIMOTHY J. OWENS O.D.
Optometrist
3013 HWY 35
HAZLET, NJ 07730
Monmouth County (732) 739-4000
OPTOMETRIC PHYSICIANS OF HAZLET, PA
Optometrist
3013 HWY 35
HAZLET, NJ 07730
Monmouth County (732) 739-4000

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 Lesley Kraus's NPI number?

The NPI number for Lesley Kraus is 1104829795. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Lesley Kraus located?

Lesley Kraus practices at 3013 Hwy 35, Hazlet, NJ 07730. The listed phone number is (732) 739-4000.

What is Lesley Kraus's specialty?

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

Is Lesley Kraus enrolled in Medicare?

Yes. Lesley Kraus 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 Lesley Kraus accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Lesley Kraus 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 Lesley Kraus was last updated on November 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.