DR. KRYSTAL WORTHINGTON O.D.
NPI 1235515941
Optometrist in Freehold, NJ

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
509 STILLWELLS CORNER RD, SUITE E5, FREEHOLD, NJ 07728(732) 431-9333 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Krystal Worthington O.d. NPPES

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

DR. KRYSTAL WORTHINGTON O.D. (NPI 1235515941) is an individual optometrist in Freehold, New Jersey, licensed in New Jersey (27OA00662200) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1235515941
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KRYSTAL WORTHINGTONCredential: O.D.
Location Address509 STILLWELLS CORNER RD, SUITE E5Freehold, NJ 07728-2965
Mailing Address509 Stillwells Corner Rd, Suite E5Freehold, NJ 07728-2965 · (732) 431-9333
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 4, 2015
NPI 1235515941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NJ · 27OA00662200
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 27OA00662200 (NJ)
509 STILLWELLS CORNER RD, Freehold, NJ 07728

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

Dr. Krystal Worthington 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 ID1951618255
PECOS Enrollment IDI20150918001913
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 13

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 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.
410 services316 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
303 services299 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.
238 services219 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.
210 services210 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.
131 services102 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).
128 services122 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.82
Improvement Activities40
Cost35.81

Other Providers at the Same Location NPPES 12

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

Psychologist
509 STILLWELLS CORNER RD
FREEHOLD, NJ 07728
Ophthalmology
509 STILLWELLS CORNER RD, SUITE E5
FREEHOLD, NJ 07728
Podiatrist (Foot & Ankle Surgery)
509 STILLWELLS CORNER RD, STE. E9
FREEHOLD, NJ 07728
Podiatrist
509 STILLWELLS CORNER RD, E9
FREEHOLD, NJ 07728
Ophthalmology
509 STILLWELLS CORNER RD, STE E5
FREEHOLD, NJ 07728
Obstetrics & Gynecology (Gynecology)
509 STILLWELLS CORNER RD
FREEHOLD, NJ 07728
Dentist (Oral and Maxillofacial Surgery)
509 STILLWELLS CORNER RD
FREEHOLD, NJ 07728
Ophthalmology
509 STILLWELLS CORNER RD, SUITE E5
FREEHOLD, NJ 07728

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 Worthington's NPI number?

The NPI number for Krystal Worthington is 1235515941. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Krystal Worthington located?

Krystal Worthington practices at 509 Stillwells Corner Rd Suite E5, Freehold, NJ 07728. The listed phone number is (732) 431-9333.

What is Krystal Worthington's specialty?

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

Is Krystal Worthington enrolled in Medicare?

Yes. Krystal Worthington 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 Krystal Worthington accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list Krystal Worthington 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 Krystal Worthington was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.