TIFFANY NICOLE SZYMAREK MD
NPI 1336362318
Ophthalmology in Elkhart, IN

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
74.21/100
CMS Quality Rating
1628 W BEARDSLEY AVE, ELKHART, IN 46514(574) 391-1020(574) 391-1021 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2024, Nov 7, 2018 (2 updates tracked since 2018).

About Tiffany Nicole Szymarek Md NPPES

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

TIFFANY NICOLE SZYMAREK MD (NPI 1336362318) is an individual ophthalmology provider in Elkhart, Indiana, licensed in Indiana (01066230A) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2006).

NPPES Registry Identity

NPI1336362318
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameTIFFANY NICOLE SZYMAREKCredential: MD
Location Address1628 W BEARDSLEY AVEElkhart, IN 46514-1881
Mailing Address1628 W Beardsley AveElkhart, IN 46514-1881 · (574) 391-1020 · Fax (574) 391-1021
Fax(574) 391-1021
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2006
Enumeration DateApril 10, 2007
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
NPI 1336362318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01066230A
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.

1628 W BEARDSLEY AVE, Elkhart, IN 46514

Other Identifiers 1

Medicaid201115260IN

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

Tiffany Nicole Szymarek 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 ID1951596774
PECOS Enrollment IDI20120724000800
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 16

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.
814 services433 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.
323 services313 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.
192 services153 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).
161 services161 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.
146 services138 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.
93 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

74.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.21
Promoting Interoperability100
Improvement Activities40
Cost48.83

Reported Quality Measures

Breast Cancer Screening
52%456 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
52%893 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
63%761 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
67%331 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
45%315 patients3/55-star benchmark: 91%
e-Prescribing
96%264 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%818 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,781 patients
Patients totalRate: 0% · 1,781 patients
0%1,781 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier65 claims65 services$53.99 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier22 claims36 services$39.19 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier54 claims99 services$51.37 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier26 claims52 services$12.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
1628 W BEARDSLEY AVE
ELKHART, IN 46514
Physical Therapist
1628 W BEARDSLEY AVE
ELKHART, IN 46514
Clinic/Center (Physical Therapy)
1628 W BEARDSLEY AVE
ELKHART, IN 46514
Ophthalmology
1628 W BEARDSLEY AVE
ELKHART, IN 46514

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 Tiffany Szymarek's NPI number?

The NPI number for Tiffany Szymarek is 1336362318. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Tiffany Szymarek located?

Tiffany Szymarek practices at 1628 W Beardsley Ave, Elkhart, IN 46514. The listed phone number is (574) 391-1020.

What is Tiffany Szymarek's specialty?

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

Is Tiffany Szymarek enrolled in Medicare?

Yes. Tiffany Szymarek 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 Tiffany Szymarek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Tiffany Szymarek 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 Tiffany Szymarek was last updated on June 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.