DR. KRISTIA ISABEL MARDONES O.D.
NPI 1346692498
Optometrist in Hamilton, NJ
About Dr. Kristia Isabel Mardones O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTIA ISABEL MARDONES O.D. (NPI 1346692498) is an individual optometrist in Hamilton, New Jersey, licensed in New Jersey (27OA00723700) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2016).
NPPES Registry Identity
Specialties & Licenses
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.
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. Kristia Isabel Mardones 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08690 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAMILTON, NJ 08690
HAMILTON, NJ 08690
HAMILTON SQ, NJ 08690
HAMILTON SQUARE, NJ 08690
HAMILTON SQ, NJ 08690
HAMILTON SQUARE, NJ 08690
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 Kristia Mardones's NPI number?
The NPI number for Kristia Mardones is 1346692498. It was assigned to this individual provider in the NPPES registry on July 12, 2016.
Where is Kristia Mardones located?
Kristia Mardones practices at 1700 Whitehorse Hamilton Square Rd, Hamilton, NJ 08690. The listed phone number is (609) 587-2020.
What is Kristia Mardones's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kristia Mardones enrolled in Medicare?
Yes. Kristia Mardones 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 Kristia Mardones accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Kristia Mardones 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 Kristia Mardones was last updated on January 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
