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DR. ADAM JOSEPH KROPF OD
NPI 1538633623
Optometrist in Wilton, CT

Active since January 11, 2019PECOS EnrolledAccepts Medicare Assignment
1 GRUMMAN HILL RD, WILTON, CT 06897(203) 761-9119(203) 761-8819 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Jun 11, 2019, Jan 11, 2019 (3 updates tracked since 2019).

About Dr. Adam Joseph Kropf Od NPPES

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

DR. ADAM JOSEPH KROPF OD (NPI 1538633623) is an individual optometrist in Wilton, Connecticut, licensed in Connecticut (3094) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2018).

NPPES Registry Identity

NPI1538633623
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ADAM JOSEPH KROPFCredential: OD
Location Address1 GRUMMAN HILL RDWilton, CT 06897-4504
Mailing Address1 Grumman Hill RdWilton, CT 06897-4504 · (203) 761-9119
Phone(203) 761-9119
Fax(203) 761-8819
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2018
Enumeration DateJanuary 11, 2019
Last NPPES UpdateApril 10, 20243 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1538633623 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 CT · 3094
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.
1 GRUMMAN HILL RD, Wilton, CT 06897
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Adam Joseph Kropf Od 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 ID5092053611
PECOS Enrollment IDI20190206001979
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 7

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 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.
95 services38 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
84 services78 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.
51 services51 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
17 services17 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.
17 services14 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).
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06897 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

WILTON FAMILY EYE CARE, LLC
Optometrist
1 GRUMMAN HILL RD
WILTON, CT 06897
Western Connecticut Planning Region (203) 761-9119
WILTON OPTOMETRY ASSOCIATES
Optometrist
1 GRUMMAN HILL RD
WILTON, CT 06897
Western Connecticut Planning Region (203) 761-9119

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 Adam Kropf's NPI number?

The NPI number for Adam Kropf is 1538633623. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Adam Kropf located?

Adam Kropf practices at 1 Grumman Hill Rd, Wilton, CT 06897. The listed phone number is (203) 761-9119.

What is Adam Kropf's specialty?

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

Is Adam Kropf enrolled in Medicare?

Yes. Adam Kropf 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 Adam Kropf accept?

Health plans from Providence Health Plan list Adam Kropf 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 Adam Kropf was last updated on April 10, 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.