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KRISTANZA MARIE BRONNENBERG OD
NPI 1801437140
Optometrist in Cody, WY

Active since October 07, 2019PECOS EnrolledAccepts Medicare Assignment
62.5/100
CMS Quality Rating
620 19TH ST, CODY, WY 82414(307) 587-4206(307) 587-5539 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2020, Jun 15, 2020, Oct 7, 2019 (3 updates tracked since 2019).

About Kristanza Marie Bronnenberg Od NPPES

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

KRISTANZA MARIE BRONNENBERG OD (NPI 1801437140) is an individual optometrist in Cody, Wyoming, licensed in Wyoming (429T) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Cody Regional Health, and maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1801437140
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKRISTANZA MARIE BRONNENBERGCredential: OD
Location Address620 19TH STCody, WY 82414-3305
Mailing AddressPo Box 2810Cody, WY 82414-2810 · (307) 587-4206 · Fax (307) 587-5539
Phone(307) 587-4206
Fax(307) 587-5539
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2020
Enumeration DateOctober 7, 2019
Last NPPES UpdateDecember 18, 20203 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1801437140 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 WY · 429T
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.
620 19TH ST, Cody, WY 82414
Open in Google Maps ↗

Secondary Practice Location 1

Location 15460 E La Palma AveAnaheim, CA 92807-2023 · Phone (714) 463-7500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Kristanza Marie Bronnenberg Od 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 ID6002239639
PECOS Enrollment IDI20200714003813
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 11

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 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.
247 services140 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.
129 services129 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.
114 services96 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).
104 services88 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.
85 services73 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.
74 services74 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82414 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

62.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality25
Improvement Activities40

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.

DR. JONATHAN HARTLEY O.D.
Optometrist
620 19TH ST
CODY, WY 82414
Park County (307) 587-4206
DR. JAMES HARVEY BELL O.D.
Optometrist
620 19TH ST
CODY, WY 82414
Park County (307) 587-4206
BASIN VISION CENTER, P. C.
Optometrist
620 19TH ST
CODY, WY 82414
Park County (307) 587-4206

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 Kristanza Bronnenberg's NPI number?

The NPI number for Kristanza Bronnenberg is 1801437140. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Kristanza Bronnenberg located?

Kristanza Bronnenberg practices at 620 19th St, Cody, WY 82414. The listed phone number is (307) 587-4206.

What is Kristanza Bronnenberg's specialty?

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

Is Kristanza Bronnenberg enrolled in Medicare?

Yes. Kristanza Bronnenberg 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 Kristanza Bronnenberg accept?

Health plans from UnitedHealthcare list Kristanza Bronnenberg 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.

Is Kristanza Bronnenberg affiliated with any hospitals?

According to CMS data, Kristanza Bronnenberg is affiliated with Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Kristanza Bronnenberg was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.