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DR. JOHN ANTHONY KRUSZEWSKI O.D.
NPI 1497757967
Optometrist in Toledo, OH

Active since August 13, 2005PECOS EnrolledAccepts Medicare Assignment
3723 KING RD, SUITE100, TOLEDO, OH 43617(419) 843-2020(419) 843-8733 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Anthony Kruszewski O.d. NPPES

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

DR. JOHN ANTHONY KRUSZEWSKI O.D. (NPI 1497757967) is an individual optometrist in Toledo, Ohio, licensed in Ohio (3869) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1986).

NPPES Registry Identity

NPI1497757967
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN ANTHONY KRUSZEWSKICredential: O.D.
Location Address3723 KING RD, SUITE100Toledo, OH 43617-1417
Mailing Address3723 King RdToledo, OH 43617-1417 · (419) 843-2020
Phone(419) 843-2020
Fax(419) 843-8733
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1986
Enumeration DateAugust 13, 2005
Last NPPES UpdateOctober 31, 2008
✔ NPI 1497757967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 3869
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.
3723 KING RD, Toledo, OH 43617
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Other Identifiers 9

Medicare ID-Type UnspecifiedKR0687812OH
Medicare NSC0580690001
Other900E86700OH · Bcbs Of Michigan
Other22-00959OH · United Health Care
Other03067OH · Paramount
Medicare UPINT527OH
Other000000137598OH · Anthem
Other0580690001OH · Dmerc
Medicaid0814793OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. John Anthony Kruszewski 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 ID4789765041
PECOS Enrollment IDI20080114000164
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 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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,821 services15 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.
253 services250 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).
99 services82 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
66 services55 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.
51 services50 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.
49 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43617 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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%24 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 2

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

ROBERT C. LAYMAN O.D. , INC.
Optometrist
3723 KING RD, SUITE 100
TOLEDO, OH 43617
Lucas County (419) 843-2020
JOHN A. KRUSZEWSKI O.D., INC
Optometrist
3723 KING RD, SUITE 100
TOLEDO, OH 43617
Lucas County (419) 843-2020

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 John Kruszewski's NPI number?

The NPI number for John Kruszewski is 1497757967. It was assigned to this individual provider in the NPPES registry on August 13, 2005.

Where is John Kruszewski located?

John Kruszewski practices at 3723 King Rd Suite100, Toledo, OH 43617. The listed phone number is (419) 843-2020.

What is John Kruszewski's specialty?

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

Is John Kruszewski enrolled in Medicare?

Yes. John Kruszewski 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 John Kruszewski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 9 other insurers list John Kruszewski 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 John Kruszewski was last updated on October 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.