DR. KRISTINA M BORESPUPP OD
NPI 1831159680
Optometrist in Plymouth, MN
About Dr. Kristina M Borespupp Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTINA M BORESPUPP OD (NPI 1831159680) is an individual optometrist in Plymouth, Minnesota, licensed in Minnesota (2479) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1994).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Kristina M Borespupp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristina Borespupp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plymouth, MN 55442
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Don Sealock Od PA
- 8 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55442 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristina Borespupp's NPI number?
The NPI number for Kristina Borespupp is 1831159680. It was assigned to this individual provider in the NPPES registry on March 24, 2006.
Where is Kristina Borespupp located?
Kristina Borespupp practices at 4455 Highway 169 N, Plymouth, MN 55442. The listed phone number is (763) 551-0529.
What is Kristina Borespupp's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kristina Borespupp enrolled in Medicare?
Yes. Kristina Borespupp 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 organization bills Medicare for Kristina Borespupp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Borespupp reassigns Medicare benefits to Don Sealock, O.D., P.A. (Plymouth, MN). 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 Kristina Borespupp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Borespupp accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, HealthPartners and Providence Health Plan list Kristina Borespupp 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 Kristina Borespupp was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kristina M Borespupp, OD · NPI 1831159680
Optometrist provider in Plymouth, Minnesota. Individual provider, active in the CMS NPPES registry since March 24, 2006.
## Identity
- **NPI:** 1831159680 (Entity type: Individual)
- **Enumerated:** March 24, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2479 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4455 HIGHWAY 169 N, Plymouth, MN 55442-2897
- **Phone:** (763) 551-0529 · **Fax:** (763) 559-6010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Don Sealock, O.D., P.A. (NPI 1497785620, Plymouth, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Alabama Birmingham - School Of Optometry, class of 1994
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1831159680) · Data from the CMS NPPES public registry.