DR. MARIO JILBERT CRAIG O.D.
NPI 1932194297
Optometrist in Lindenhurst, NY

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
7.5/100
CMS Quality Rating
651 N WELLWOOD AVE, LINDENHURST, NY 11757(631) 226-2020(631) 226-7371 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mario Jilbert Craig O.d. NPPES

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

DR. MARIO JILBERT CRAIG O.D. (NPI 1932194297) is an individual optometrist in Lindenhurst, New York, licensed in New York (T006374) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2001).

NPPES Registry Identity

NPI1932194297
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARIO JILBERT CRAIGCredential: O.D.
Location Address651 N WELLWOOD AVELindenhurst, NY 11757-1635
Mailing Address651 N Wellwood AveLindenhurst, NY 11757-1635 · (631) 226-2020 · Fax (631) 226-7371
Fax(631) 226-7371
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2001
Enumeration DateSeptember 13, 2005
Last NPPES UpdateMarch 11, 2014
NPI 1932194297 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 NY · T006374
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 T006374 (NY)
651 N WELLWOOD AVE, Lindenhurst, NY 11757

Other Identifiers 7

Medicare PINC175ACASF1NY
Other3399516NY · Aetna
Other7313502NY · Aetna
OtherP3139396NY · Oxford
Other169422NY · Vytra
Medicare UPINU87491NY
OtherP82818751NY · Multiplan

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

Dr. Mario Jilbert Craig 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 ID547225641
PECOS Enrollment IDI20041201000118
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 10

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.

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.
2,118 services19 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.
531 services480 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.
371 services364 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.
287 services204 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.
139 services139 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.
116 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11757 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

7.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims12 services$52.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Optometrist
651 N WELLWOOD AVE
LINDENHURST, NY 11757
Optometrist (Corneal and Contact Management)
651 N WELLWOOD AVE
LINDENHURST, NY 11757
Optometrist
651 N WELLWOOD AVE
LINDENHURST, NY 11757

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 Mario Craig's NPI number?

The NPI number for Mario Craig is 1932194297. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Mario Craig located?

Mario Craig practices at 651 N Wellwood Ave, Lindenhurst, NY 11757. The listed phone number is (631) 226-2020.

What is Mario Craig's specialty?

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

Is Mario Craig enrolled in Medicare?

Yes. Mario Craig 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 Mario Craig accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Mario Craig 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 Mario Craig was last updated on March 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.