ANDREW D. KROUNER M.D.
NPI 1740294255
Ophthalmology in Wexford, PA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
7000 STONEWOOD DR, SUITE 200, WEXFORD, PA 15090(724) 940-4001(724) 940-4036 Get Directions Write a Review

NPPES record last updated: September 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew D. Krouner M.d. NPPES

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

ANDREW D. KROUNER M.D. (NPI 1740294255) is an individual ophthalmology provider in Wexford, Pennsylvania, licensed in Pennsylvania (MDO44167L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1982).

NPPES Registry Identity

NPI1740294255
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameANDREW D. KROUNERCredential: M.D.
Location Address7000 STONEWOOD DR, SUITE 200Wexford, PA 15090-7376
Mailing Address7000 Stonewood Dr, Suite 200Wexford, PA 15090-7376 · (724) 940-4001 · Fax (724) 940-4036
Fax(724) 940-4036
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1982
Enumeration DateJuly 28, 2006
Last NPPES UpdateSeptember 25, 2008
NPI 1740294255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MDO44167L
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.
7000 STONEWOOD DR, Wexford, PA 15090

Other Identifiers 10

Medicare PIN007058838RI
Other413873SC · Blue Chip
Medicaid7058838RI
OtherAA73915RI · Harvard
Other32247RI · Neighborhood Ri
Other4207708RI · Aetna
Medicare UPINE59429RI
Other26587RI · Ri Blue Shield
Other050493136RI · United
Other6591068RI · Cigna

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

Andrew D. Krouner 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 ID4385644459
PECOS Enrollment IDI20181011000799
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 10

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.
608 services584 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
274 services203 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).
121 services120 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
116 services53 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.
81 services81 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.
58 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%1,091 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%9,485 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
91%533 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%128 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%433 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 3,524 patients
Patients totalRate: 0% · 3,524 patients
0%3,524 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 20

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

Social Worker
7000 STONEWOOD DR
WEXFORD, PA 15090
Durable Medical Equipment & Medical Supplies
7000 STONEWOOD DR, SUITE 200
WEXFORD, PA 15090
Pain Medicine (Pain Medicine)
7000 STONEWOOD DR, STE 151
WEXFORD, PA 15090
Physical Therapist
7000 STONEWOOD DR, SUITE 230
WEXFORD, PA 15090
Audiologist
7000 STONEWOOD DR, SUITE 210
WEXFORD, PA 15090
Hearing Instrument Specialist
7000 STONEWOOD DR, SUITE 210
WEXFORD, PA 15090
Psychiatry & Neurology (Psychiatry)
7000 STONEWOOD DR
WEXFORD, PA 15090
Physician Assistant
7000 STONEWOOD DR
WEXFORD, PA 15090

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 Andrew Krouner's NPI number?

The NPI number for Andrew Krouner is 1740294255. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Andrew Krouner located?

Andrew Krouner practices at 7000 Stonewood Dr Suite 200, Wexford, PA 15090. The listed phone number is (724) 940-4001.

What is Andrew Krouner's specialty?

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

Is Andrew Krouner enrolled in Medicare?

Yes. Andrew Krouner 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 Andrew Krouner accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Andrew Krouner 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 Andrew Krouner was last updated on September 25, 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.