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KRYSTAL MARIE FORDOSKI O.D.
NPI 1114159225
Optometrist in Erie, PA

Active since August 23, 2009PECOS EnrolledAccepts Medicare Assignment
91.46/100
CMS Quality Rating
300 STATE ST STE 200, ERIE, PA 16507(814) 453-4575(814) 459-3885 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 29, 2023, Apr 27, 2022, Jan 18, 2022 and 1 more (4 updates tracked since 2016).

About Krystal Marie Fordoski O.d. NPPES

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

KRYSTAL MARIE FORDOSKI O.D. (NPI 1114159225) is an individual optometrist in Erie, Pennsylvania, licensed in Pennsylvania (OEG002236) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2009).

NPPES Registry Identity

NPI1114159225
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKRYSTAL MARIE FORDOSKICredential: O.D.
Location Address300 STATE ST STE 200Erie, PA 16507-1429
Mailing Address300 State St Ste 200Erie, PA 16507-1429 · (814) 453-4575 · Fax (144) 593-8858
Phone(814) 453-4575
Fax(814) 459-3885
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2009
Enumeration DateAugust 23, 2009
Last NPPES UpdateMarch 29, 20234 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1114159225 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 PA · OEG002236
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.
300 STATE ST STE 200, Erie, PA 16507
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krystal Marie Fordoski 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 ID7315071925
PECOS Enrollment IDI20100818000822
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.

Medicare Billing Reassignment

Medicare enrollment records show Krystal Fordoski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Housler Family Eye Care Inc
93 mi
Optometrist
949 S SAINT MARYS ST
Saint Marys, PA 15857
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1629518774 (814) 335-5905

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
290 services250 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.
177 services95 patients
Imaging of retina 92134
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.
113 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
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.
39 services39 patients
Exam of visual field with extended testing 92083
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.
37 services37 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
29 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

91.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.35
Improvement Activities40
Cost96.4

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.

DR. JESSICA MARIE GOLLER O.D.
Optometrist
300 STATE ST STE 200
ERIE, PA 16507
Erie County (814) 453-4575
ELIZABETH EILEEN ROBERTS OD
Optometrist
300 STATE ST STE 200
ERIE, PA 16507
Erie County (814) 453-4575
SIMRAN GILL OD
Student in an Organized Health Care Education/Training Program
300 STATE ST STE 200
ERIE, PA 16507
Erie County (814) 453-4575

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 Krystal Fordoski's NPI number?

The NPI number for Krystal Fordoski is 1114159225. It was assigned to this individual provider in the NPPES registry on August 23, 2009.

Where is Krystal Fordoski located?

Krystal Fordoski practices at 300 State St Ste 200, Erie, PA 16507. The listed phone number is (814) 453-4575.

What is Krystal Fordoski's specialty?

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

Is Krystal Fordoski enrolled in Medicare?

Yes. Krystal Fordoski 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.

Which organization bills Medicare for Krystal Fordoski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Fordoski reassigns Medicare benefits to Housler Family Eye Care Inc (Saint Marys, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krystal Fordoski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Krystal Fordoski was last updated on March 29, 2023. 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.