KRISTINA YI-HWA PAO MD
NPI 1205002847
Ophthalmology in Thorndale, PA

Active since May 04, 2008PECOS EnrolledAccepts Medicare Assignment
89.54/100
CMS Quality Rating
3000 C G ZINN RD, THORNDALE, PA 19372(610) 384-9100(610) 384-3937 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2024, Apr 24, 2017 (2 updates tracked since 2017).

About Kristina Yi-hwa Pao Md NPPES

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

KRISTINA YI-HWA PAO MD (NPI 1205002847) is an individual ophthalmology provider in Thorndale, Pennsylvania, licensed in Pennsylvania (MD480001) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2008).

NPPES Registry Identity

NPI1205002847
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKRISTINA YI-HWA PAOCredential: MD
Location Address3000 C G ZINN RDThorndale, PA 19372-1134
Mailing Address3000 C G Zinn RdThorndale, PA 19372-1134 · (610) 384-9100 · Fax (610) 384-3937
Fax(610) 384-3937
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2008
Enumeration DateMay 4, 2008
Last NPPES UpdateApril 20, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
✔ NPI 1205002847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD480001
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 ListedSpecialistTaxonomy 174400000X · License MD480001 (PA)
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License MD480001 (PA)
3000 C G ZINN RD, Thorndale, PA 19372

Other Identifiers 1

Medicaid2044942OH

Accepted Insurance

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

Kristina Yi-hwa Pao 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 ID3577729813
PECOS Enrollment IDI20230222003221
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 Reassignments

3

Medicare enrollment records show Kristina Pao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
3000 C G ZINN ROAD, THE GREENVIEW PAVILION
Thorndale, PA 19372
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Focus Eye Group PC
  • 11 clinicians in this Medicare group
Ophthalmology
1254 LITITZ PIKE
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7 clinicians in this Medicare group
Ophthalmology
840 WALNUT ST, SUITE 1230
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 230 clinicians in this Medicare group

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 26

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 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.
502 services365 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.
282 services278 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.
135 services128 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.
125 services121 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).
123 services123 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.
103 services103 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19372 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

89.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost65.15

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%66 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 9

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

Optometrist
3000 C G ZINN RD
THORNDALE, PA 19372
Physical Therapist
3000 C G ZINN RD, SUITE 202
THORNDALE, PA 19372
Physical Therapist
3000 C G ZINN RD, SUITE 202
THORNDALE, PA 19372
Eyewear Supplier
3000 C G ZINN RD, THE GREENVIEW PAVILION
THORNDALE, PA 19372
Ophthalmology
3000 C G ZINN RD, THE GREENVIEW PAVILION
THORNDALE, PA 19372
Optometrist
3000 C G ZINN RD
THORNDALE, PA 19372
Ophthalmology
3000 C G ZINN RD
THORNDALE, PA 19372
Physical Therapist
3000 C G ZINN RD, SUITE 202
THORNDALE, PA 19372

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 Kristina Pao's NPI number?

The NPI number for Kristina Pao is 1205002847. It was assigned to this individual provider in the NPPES registry on May 4, 2008.

Where is Kristina Pao located?

Kristina Pao practices at 3000 C G Zinn Rd, Thorndale, PA 19372. The listed phone number is (610) 384-9100.

What is Kristina Pao's specialty?

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

Is Kristina Pao enrolled in Medicare?

Yes. Kristina Pao 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 organizations bill Medicare for Kristina Pao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Pao reassigns Medicare benefits to 3 organizations: Focus Eye Group, P.C. (Thorndale, PA), Eye Associates Of Lancaster Ltd (Lancaster, PA) and Wills Eye Ophthalmology Clinic, Inc (Philadelphia, PA). Each 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 Kristina Pao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Pao accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kristina Pao 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.

Is Kristina Pao affiliated with any hospitals?

According to CMS data, Kristina Pao is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Kristina Pao was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.