DR. NICHOLAS FRANK HRISOMALOS M.D.
NPI 1568452340
Ophthalmology - Retina Specialist in Indianapolis, IN

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
10300 N ILLINOIS ST, SUITE1070, INDIANAPOLIS, IN 46290(317) 817-1500(317) 817-1511 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas Frank Hrisomalos M.d. NPPES

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

DR. NICHOLAS FRANK HRISOMALOS M.D. (NPI 1568452340) is an individual retina specialist in Indianapolis, Indiana, licensed in Indiana (01032013B) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1978).

NPPES Registry Identity

NPI1568452340
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. NICHOLAS FRANK HRISOMALOSCredential: M.D.
Location Address10300 N ILLINOIS ST, SUITE1070Indianapolis, IN 46290-1167
Mailing Address10300 N Illinois St, Suite1070Indianapolis, IN 46290-1167 · (317) 817-1500 · Fax (317) 817-1511
Fax(317) 817-1511
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1978
Enumeration DateOctober 24, 2005
Last NPPES UpdateOctober 17, 2017
NPI 1568452340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in IN · 01032013B
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
10300 N ILLINOIS ST, Indianapolis, IN 46290

Other Identifiers 3

Medicare UPINB28572IN
Medicaid100228280IN
OtherIN1940IN · Medicare Id

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. Nicholas Frank Hrisomalos M.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 ID9830274471
PECOS Enrollment IDI20090129000442
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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
6,901 services31 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.
891 services351 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
586 services159 patients
Unclassified biologics J3590
Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.
238 services93 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
234 services48 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.
228 services173 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46290 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%252 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%242 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%83 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
99%248 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,424 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 446 patients
Patients screened: 97% · 446 patients
98%47 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%86 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 711 patients
Patients totalRate: 0% · 711 patients
0%711 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 17

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

Ophthalmology
10300 N ILLINOIS ST
CARMEL, IN 46290
Dermatology (MOHS-Micrographic Surgery)
10300 N ILLINOIS ST
CARMEL, IN 46290
Ophthalmology
10300 N ILLINOIS ST
CARMEL, IN 46290
Nurse Practitioner (Family)
10300 N ILLINOIS ST
CARMEL, IN 46290
Ophthalmology
10300 N ILLINOIS ST, SUITE 1010
INDIANAPOLIS, IN 46290
Physician Assistant
10300 N ILLINOIS ST
CARMEL, IN 46290
Internal Medicine (Gastroenterology)
10300 N ILLINOIS ST
CARMEL, IN 46290
Clinic/Center (Ambulatory Surgical)
10300 N ILLINOIS ST
CARMEL, IN 46290

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 Nicholas Hrisomalos's NPI number?

The NPI number for Nicholas Hrisomalos is 1568452340. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Nicholas Hrisomalos located?

Nicholas Hrisomalos practices at 10300 N Illinois St Suite1070, Indianapolis, IN 46290. The listed phone number is (317) 817-1500.

What is Nicholas Hrisomalos's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Nicholas Hrisomalos enrolled in Medicare?

Yes. Nicholas Hrisomalos 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 Nicholas Hrisomalos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Nicholas Hrisomalos 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 Nicholas Hrisomalos was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.