THOMAS FRANK KRULEWSKI MD PHD
NPI 1861480170
Ophthalmology in Lancaster, PA

Q: What is Thomas Krulewski's NPI number?

The NPI number for Thomas Krulewski is 1861480170. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Q: What is Thomas Krulewski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Krulewski was last updated on May 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment

97.81/100

CMS Quality Rating

810 PLAZA BLVD, STE 103, LANCASTER, PA 17601(717) 735-6700(717) 735-8113 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Thomas Frank Krulewski Md Phd NPPES

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

THOMAS FRANK KRULEWSKI MD PHD (NPI 1861480170) is an individual ophthalmology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD052784L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Icahn School Of Medicine At Mount Sinai (1990).

NPPES Registry Identity

NPI1861480170

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameTHOMAS FRANK KRULEWSKICredential: MD PHD

Location Address810 PLAZA BLVD, STE 103Lancaster, PA 17601-2738

Mailing Address810 Plaza Blvd, Ste 103Lancaster, PA 17601-2738 · (717) 735-6700 · Fax (717) 735-8113

Phone(717) 735-6700

Fax(717) 735-8113

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1990

Enumeration DateOctober 11, 2005

Last NPPES UpdateMay 18, 2010

✔ NPI 1861480170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD052784L

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.

810 PLAZA BLVD, Lancaster, PA 17601

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF80567

Medicaid01469459PA

Medicare ID-Type UnspecifiedKR769921FWF

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Thomas Frank Krulewski Md Phd 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 ID3678506748

PECOS Enrollment IDI20110721000629

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 Thomas Krulewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lehigh Valley Eye Center, P.C.

57 mi

Specialist

400 N 17TH ST, STE 101
Allentown, PA 18104

Reassigned Medicare billing, Pennsylvania enrollment
72 clinicians in this Medicare group

NPI 1356330369 (610) 776-7400

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 13

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 moderate level of decision making, if using time, 30 minutes or more 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.

637 services442 patients

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.

206 services120 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.

167 services161 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).

110 services101 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.

87 services83 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.

86 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

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.

65 services62 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

58 services15 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

58 services57 patients

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.

56 services41 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

50 services15 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

33 services28 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

97.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

92.71

Reported Quality Measures

Complications After Cataract Surgery

Lower rates are better for this measure.

0%215 patients

Diabetes: Eye Exam

98%502 patients4/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

100%28 patients

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

90%145 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

99%3,570 patients4/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

88%514 patients

Overuse of Imaging for the Evaluation of Primary Headache

Lower rates are better for this measure.

0%68 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,379 patients

Patients totalRate: 0% · 1,379 patients

0%1,379 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 19

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

EYE PHYSICIANS OF LANCASTER PC

Ophthalmology

810 PLAZA BLVD, STE 103
LANCASTER, PA 17601

Lancaster County (717) 735-6700

JEAN-MARIE GRANDE CCC-A

Audiologist