RONALD W KRISTAN MD
NPI 1114928843
Ophthalmology in Eatontown, NJ

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
75.83/100
CMS Quality Rating
300 HIGHWAY 35 STE 200, EATONTOWN, NJ 07724(732) 222-7373(732) 571-9212 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2021, May 30, 2019 (2 updates tracked since 2019).

About Ronald W Kristan Md NPPES

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

RONALD W KRISTAN MD (NPI 1114928843) is an individual ophthalmology provider in Eatontown, New Jersey, licensed in New Jersey (25MA04620000) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of New York University Medical College - Nlg (1980).

NPPES Registry Identity

NPI1114928843
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRONALD W KRISTANCredential: MD
Location Address300 HIGHWAY 35 STE 200Eatontown, NJ 07724-2216
Mailing Address300 Highway 35 Ste 200Eatontown, NJ 07724-2216 · (732) 222-7373 · Fax (732) 571-9212
Fax(732) 571-9212
Sole ProprietorNo
Medical School CMSNew York University Medical College - NlgGraduated 1980
Enumeration DateAugust 3, 2005
Last NPPES UpdateApril 16, 20212 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
NPI 1114928843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA04620000
Definition
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.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 25MA04620000 (NJ)
300 HIGHWAY 35 STE 200, Eatontown, NJ 07724

Accepted 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

Ronald W Kristan Md 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 ID9537118427
PECOS Enrollment IDI20110124000216
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 33

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.

Injection, incobotulinumtoxin a, 1 unit J0588
Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
2,273 services17 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.
1,434 services967 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.
1,322 services1,252 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.
681 services520 patients
Imaging of optic nerve 92133
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).
609 services561 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.
581 services473 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07724 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.

75.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost19.46

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%48 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.

Other Providers at the Same Location NPPES 6

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

Student in an Organized Health Care Education/Training Program
300 HIGHWAY 35 STE 200
EATONTOWN, NJ 07724
Optometrist
300 HIGHWAY 35 STE 200
EATONTOWN, NJ 07724
Optometrist
300 HIGHWAY 35 STE 200
EATONTOWN, NJ 07724
Ophthalmology
300 HIGHWAY 35 STE 200
EATONTOWN, NJ 07724
Optometrist
300 HIGHWAY 35 STE 200
EATONTOWN, NJ 07724
Ophthalmology
300 HIGHWAY 35 STE 200
EATONTOWN, NJ 07724

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 Ronald Kristan's NPI number?

The NPI number for Ronald Kristan is 1114928843. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Ronald Kristan located?

Ronald Kristan practices at 300 Highway 35 Ste 200, Eatontown, NJ 07724. The listed phone number is (732) 222-7373.

What is Ronald Kristan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ronald Kristan enrolled in Medicare?

Yes. Ronald Kristan 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 Ronald Kristan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Ronald Kristan 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 Ronald Kristan was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.