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DR. KRISTEN T SAGGESE O.D.
NPI 1801101324
Optometrist in New York, NY

Active since August 09, 2010PECOS Enrolled
71.32/100
CMS Quality Rating
35A E 35TH ST # 204, NEW YORK, NY 10016(212) 683-2004 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kristen T Saggese O.d. NPPES

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

DR. KRISTEN T SAGGESE O.D. (NPI 1801101324) is an individual optometrist in New York, New York, licensed in New York (TUV-007542-1) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801101324
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KRISTEN T SAGGESECredential: O.D.
Location Address35A E 35TH ST # 204New York, NY 10016-3813
Mailing Address407 Park Ave S Apt 5fNew York, NY 10016-8415
Phone(212) 683-2004
Sole ProprietorNo
Enumeration DateAugust 9, 2010
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1801101324 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 · TUV-007542-1
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.
35A E 35TH ST # 204, New York, NY 10016
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Other Names 1

Professional Name (2)Dr. Kristen T Shibley O.d.

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 Louisiana, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Kristen T Saggese 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.

Medicare Billing Reassignment

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

Sightrite Inc
3.0 mi
Optometrist
153 DIVISION AVE
Brooklyn, NY 11211
  • Reassigned Medicare billing, New York enrollment
  • 75 clinicians in this Medicare group
NPI 1336562644 (718) 633-2455

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 7

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 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.
1,179 services878 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
1,005 services1,005 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.
888 services756 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.
807 services730 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.
688 services688 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.
69 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

71.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality54.5
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%69 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%56 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,189 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 3,202 patients
100%3,202 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
91%368 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 3

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 supplier36 claims36 services$49.71 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 supplier17 claims24 services$40.93 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 supplier12 claims17 services$49.08 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 Kristen Saggese's NPI number?

The NPI number for Kristen Saggese is 1801101324. It was assigned to this individual provider in the NPPES registry on August 9, 2010. The provider is also known as Dr. Kristen T Shibley O.D..

Where is Kristen Saggese located?

Kristen Saggese practices at 35A E 35th St # 204, New York, NY 10016. The listed phone number is (212) 683-2004.

What is Kristen Saggese's specialty?

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

Is Kristen Saggese enrolled in Medicare?

Yes. Kristen Saggese is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristen Saggese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Saggese reassigns Medicare benefits to Sightrite Inc (Brooklyn, NY). 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 Kristen Saggese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Saggese accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Kristen Saggese 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 Saggese was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.