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LIGAYA PRYSTOWSKY M.D.
NPI 1821071754
Ophthalmology in Nutley, NJ

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
665 FRANKLIN AVE, NUTLEY, NJ 07110(973) 667-4008(973) 667-1655 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ligaya Prystowsky M.d. NPPES

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

LIGAYA PRYSTOWSKY M.D. (NPI 1821071754) is an individual ophthalmology provider in Nutley, New Jersey, licensed in New Jersey (25MA04185000) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Carewell Health Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1821071754
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameLIGAYA PRYSTOWSKYCredential: M.D.
Location Address665 FRANKLIN AVENutley, NJ 07110-1209
Mailing Address665 Franklin AveNutley, NJ 07110-1209 · (973) 667-4008 · Fax (973) 667-1655
Phone(973) 667-4008
Fax(973) 667-1655
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 23, 2005
Last NPPES UpdateOctober 11, 2007
✔ NPI 1821071754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · 25MA04185000
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.
665 FRANKLIN AVE, Nutley, NJ 07110
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Other Identifiers 3

Medicare UPINC55374NJ
Medicare PIN452776TQ0NJ
Medicaid1582003NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ligaya Prystowsky 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 ID9739138439
PECOS Enrollment IDI20050124000107
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 Reassignments

2

Medicare enrollment records show Ligaya Prystowsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Omega Medical Group, P.C.
Same address
Ophthalmology
665 FRANKLIN AVE
Nutley, NJ 07110
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Omega Medical Group PC
NPI 1720223084 (973) 667-4008
Eyeland Wellness LLC
4,932 mi
Ophthalmology
75-1028 HENRY ST STE 200
Kailua Kona, HI 96740
  • Reassigned Medicare billing, Hawaii enrollment
  • 2 clinicians in this Medicare group
NPI 1134948979 (808) 421-9412

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 21

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.

Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
674 services301 patients
Extended exam involving color vision testing 92283
An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.
636 services300 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.
502 services263 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.
288 services213 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
278 services180 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
164 services118 patients

Hospital Affiliations CMS Care Compare

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

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310083
Location300 Central AveEast Orange, NJ 07018 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07110 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
35%54 patients2/55-star benchmark: 95%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
82%136 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
54%26 patients3/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
81%32 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
74%928 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%681 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
6%385 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
28%260 patients2/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
67%24 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%2,045 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 9% · 103 patients
9%103 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
98%250 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
54%2,045 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,045 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 385 patients
0%385 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 2

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

OMEGA MEDICAL GROUP, P.C.
Ophthalmology
665 FRANKLIN AVE
NUTLEY, NJ 07110
Essex County (973) 667-4008
LIGAYA PRYSTOWSKY MD PC
Ophthalmology
665 FRANKLIN AVE
NUTLEY, NJ 07110
Essex County (973) 667-4008

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 Ligaya Prystowsky's NPI number?

The NPI number for Ligaya Prystowsky is 1821071754. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Ligaya Prystowsky located?

Ligaya Prystowsky practices at 665 Franklin Ave, Nutley, NJ 07110. The listed phone number is (973) 667-4008.

What is Ligaya Prystowsky's specialty?

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

Is Ligaya Prystowsky enrolled in Medicare?

Yes. Ligaya Prystowsky 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.

Which organizations bill Medicare for Ligaya Prystowsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ligaya Prystowsky reassigns Medicare benefits to 2 organizations: Omega Medical Group, P.C. (Nutley, NJ) and Eyeland Wellness LLC (Kailua Kona, HI). Each 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 Ligaya Prystowsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ligaya Prystowsky accept?

Health plans from Oscar Health list Ligaya Prystowsky 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 Ligaya Prystowsky affiliated with any hospitals?

According to CMS data, Ligaya Prystowsky is affiliated with Carewell Health Medical Center.

When was this NPI record last updated?

The NPPES record for Ligaya Prystowsky was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.