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KRISTEN K DORMAN O.D.
NPI 1609833110
Optometrist in Fredonia, WI

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
120 MARTIN DR, FREDONIA, WI 53021(262) 692-9000(262) 692-2797 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2020, Sep 10, 2018 (2 updates tracked since 2018).

About Kristen K Dorman O.d. NPPES

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

KRISTEN K DORMAN O.D. (NPI 1609833110) is an individual optometrist in Fredonia, Wisconsin, licensed in Wisconsin (2673-035) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waukesha, and is a graduate of Indiana University - School Of Optometry (1995).

NPPES Registry Identity

NPI1609833110
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKRISTEN K DORMANCredential: O.D.
Location Address120 MARTIN DRFredonia, WI 53021-9455
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(262) 692-9000
Fax(262) 692-2797
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1995
Enumeration DateApril 27, 2006
Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1609833110 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 WI · 2673-035
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.
120 MARTIN DR, Fredonia, WI 53021
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Secondary Practice Location 1

Location 11111 Delafield St, Suite 312Waukesha, WI 53188-3417 · Phone (262) 547-3352 · Fax (262) 547-9142

Other Identifiers 9

Other38608200WI · Wi Health Ins Rsk Shar Pr
Other38608200WI · Abri
Other103436WI · Health Alliance
Other410041553WI · Railroad Medicare
Other747042WI · Mohawk
Other391101335WI · Wi Phys Serv Wps
Medicaid38608200WI
Other5300133WI · Aetna
Other822601WI · Vipa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Kristen K Dorman 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 ID9638274814
PECOS Enrollment IDI20070417000305
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 2

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.

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.
27 services27 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53021 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 4

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

MYEYEDR OPTOMETRY OF WISCONSIN, LLC
Optometrist
120 MARTIN DR
FREDONIA, WI 53021
Ozaukee County (262) 692-9000
SE PROFESSIONALS, S.C.
Optometrist
120 MARTIN DR
FREDONIA, WI 53021
Ozaukee County (262) 692-9000
DR. MATTHEW FRANCIS BYERS OD
Optometrist
120 MARTIN DR
FREDONIA, WI 53021
Ozaukee County (262) 692-9000
DR. ERIC PAUL PEDERSEN OD
Optometrist
120 MARTIN DR
FREDONIA, WI 53021
Ozaukee County (262) 692-9000

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 Kristen Dorman's NPI number?

The NPI number for Kristen Dorman is 1609833110. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Kristen Dorman located?

Kristen Dorman practices at 120 Martin Dr, Fredonia, WI 53021. The listed phone number is (262) 692-9000.

What is Kristen Dorman's specialty?

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

Is Kristen Dorman enrolled in Medicare?

Yes. Kristen Dorman 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 Kristen Dorman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource (Common Ground Healthcare) and 3 other insurers list Kristen Dorman 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 Kristen Dorman was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.