1. Home
  2. Directory
  3. Florida
  4. Edgewater
  5. Ophthalmology
  6. NPI Profile

OREST MICHAEL KRAJNYK MD
NPI 1568624898
Ophthalmology in Edgewater, FL

Active since June 27, 2008PECOS EnrolledAccepts Medicare Assignment
86.55/100
CMS Quality Rating
303 N RIDGEWOOD AVE, EDGEWATER, FL 32132(386) 424-1422(386) 424-1401 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Jun 28, 2017 (2 updates tracked since 2017).

About Orest Michael Krajnyk Md NPPES

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

OREST MICHAEL KRAJNYK MD (NPI 1568624898) is an individual ophthalmology provider in Edgewater, Florida, licensed in Florida (ME112521) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1568624898
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameOREST MICHAEL KRAJNYKCredential: MD
Location Address303 N RIDGEWOOD AVEEdgewater, FL 32132-1617
Mailing Address303 N Ridgewood AveEdgewater, FL 32132-1617 · (386) 424-1422 · Fax (386) 424-1401
Phone(386) 424-1422
Fax(386) 424-1401
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 27, 2008
Last NPPES UpdateMarch 17, 20222 updates tracked since enumeration
NPPES CertifiedMarch 17, 2022
✔ NPI 1568624898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME112521
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.
303 N RIDGEWOOD AVE, Edgewater, FL 32132
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12638 Lpga BlvdDaytona Beach, FL 32124-1008 · Phone (386) 271-3070 · Fax (386) 424-1401
Location 2424 Luna Bella Ln Ste 122New Smyrna Beach, FL 32168-4685 · Phone (386) 424-1422

Other Identifiers 1

Other12379738FL · Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Orest Michael Krajnyk 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 ID9032368568
PECOS Enrollment IDI20120927000207
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.

Medicare Billing Reassignment

Medicare enrollment records show Orest Krajnyk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orest M Krajnyk MD PA
Same address
Ophthalmology
303 N RIDGEWOOD AVE
Edgewater, FL 32132
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1598299380 (386) 424-1422

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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 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.
884 services661 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.
354 services292 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.
318 services299 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.
281 services206 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
218 services126 patients
Release of arm or leg nerve 64708
A release of an arm or leg nerve is a surgical procedure aimed at relieving pressure on the nerve. This pressure can cause pain, numbness, or weakness. During the procedure, the surgeon makes a small incision and gently moves tissues away from the nerve. This can help restore normal function and alleviate discomfort.
214 services124 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32132 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

86.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.11
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
90%233 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
89%222 patients4/55-star benchmark: 100%
Cataracts: Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older who had cataract surgery and had improvement in visual function achieved within 90 days following the cataract surgery, based on completing a pre-operative and post-operative visual function survey
34%114 patients2/55-star benchmark: 100%
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%87 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
76%59 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
4%4,831 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%2,069 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
63%2,304 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%146 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
59%2,304 patients3/55-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 3

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

OREST M KRAJNYK MD PA
Ophthalmology
303 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Volusia County (386) 424-1422
VOLUSIA CENTER FOR SURGICAL EXCELLENCE, LLC
Clinic/Center (Ophthalmologic Surgery)
303 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Volusia County (386) 424-1422
TULSI AMIN OD
Optometrist
303 N RIDGEWOOD AVE
EDGEWATER, FL 32132
Volusia County (386) 424-1422

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 Orest Krajnyk's NPI number?

The NPI number for Orest Krajnyk is 1568624898. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Orest Krajnyk located?

Orest Krajnyk practices at 303 N Ridgewood Ave, Edgewater, FL 32132. The listed phone number is (386) 424-1422.

What is Orest Krajnyk's specialty?

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

Is Orest Krajnyk enrolled in Medicare?

Yes. Orest Krajnyk 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.

Which organization bills Medicare for Orest Krajnyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Orest Krajnyk reassigns Medicare benefits to Orest M Krajnyk MD PA (Edgewater, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Orest Krajnyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Orest Krajnyk accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 14 other insurers list Orest Krajnyk 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 Orest Krajnyk was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.