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DR. ORYSYA PROTAS O.D.
NPI 1790190080
Optometrist in Elmhurst, NY

Active since June 25, 2014PECOS Enrolled
69.61/100
CMS Quality Rating
40-60 ELBERTSON ST., APT. 3 D, ELMHURST, NY 11373(718) 898-8419 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Orysya Protas O.d. NPPES

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

DR. ORYSYA PROTAS O.D. (NPI 1790190080) is an individual optometrist in Elmhurst, New York, licensed in New York (TUV008176-1) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790190080
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ORYSYA PROTASCredential: O.D.
Location Address40-60 ELBERTSON ST., APT. 3 DElmhurst, NY 11373
Mailing Address40-60 Elbertson St., Apt. 3 DElmhurst, NY 11373
Phone(718) 898-8419
Sole ProprietorYes
Enumeration DateJune 25, 2014
✔ NPI 1790190080 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 NY · TUV008176-1
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.
40-60 ELBERTSON ST., Elmhurst, NY 11373
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Orysya Protas O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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.
1,853 services1,551 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.
1,601 services1,601 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.
1,487 services929 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.
1,233 services808 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
993 services844 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
856 services852 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

69.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality52.48
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%926 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%88 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%7,838 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 5,284 patients
100%5,284 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
81%455 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier57 claims57 services$48.17 avg. paid by Medicare
Sphere, single vision, plano to plus or minus 4.00, per lens V2100
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims18 services$40.27 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims15 services$35.17 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims14 services$56.82 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier23 claims33 services$47.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Orysya Protas's NPI number?

The NPI number for Orysya Protas is 1790190080. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Orysya Protas located?

Orysya Protas practices at 40-60 Elbertson St. Apt. 3 D, Elmhurst, NY 11373. The listed phone number is (718) 898-8419.

What is Orysya Protas's specialty?

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

Is Orysya Protas enrolled in Medicare?

Yes. Orysya Protas is registered in the Medicare PECOS enrollment system.

What insurance does Orysya Protas accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Orysya Protas 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 Orysya Protas was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.