KRISTAL JONES O.D.
NPI 1821404633
Optometrist in New Prague, MN

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
91.95/100
CMS Quality Rating
1101 1ST ST NE, NEW PRAGUE, MN 56071(952) 758-2080(952) 758-5922 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kristal Jones O.d. NPPES

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

KRISTAL JONES O.D. (NPI 1821404633) is an individual optometrist in New Prague, Minnesota, licensed in Minnesota (3396) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2014).

NPPES Registry Identity

NPI1821404633
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKRISTAL JONESCredential: O.D.
Location Address1101 1ST ST NENew Prague, MN 56071-2197
Mailing Address112 Main St E, Po Box 261New Prague, MN 56071-2440 · (952) 758-2080 · Fax (952) 758-5922
Fax(952) 758-5922
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2014
Enumeration DateJuly 1, 2014
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedMarch 2, 2020
NPI 1821404633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MN · 3396
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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 3396 (MN)
1101 1ST ST NE, New Prague, MN 56071

Other Identifiers 1

Medicaid1821404633MN

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

Kristal Jones O.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 ID9335448778
PECOS Enrollment IDI20160505002131
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,620 services15 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
76 services57 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.
51 services51 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).
48 services39 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services47 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.
42 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56071 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

91.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.9
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Pharmacy (Community/Retail Pharmacy)
1101 1ST ST NE
NEW PRAGUE, MN 56071
Pharmacist
1101 1ST ST NE
NEW PRAGUE, MN 56071
Optometrist
1101 1ST ST NE
NEW PRAGUE, MN 56071
Optometrist
1101 1ST ST NE
NEW PRAGUE, MN 56071
Optometrist
1101 1ST ST NE
NEW PRAGUE, MN 56071
Optometrist
1101 1ST ST NE
NEW PRAGUE, MN 56071
Optometrist
1101 1ST ST NE
NEW PRAGUE, MN 56071

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821404633, enumerated as an "individual" on July 01, 2014.

The provider is located at 1101 1ST ST NE NEW PRAGUE, MN 56071 and the phone number is (952) 758-2080.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.