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DR. NICHOLAS EDWARD MONDERO O.D.
NPI 1942648852
Optometrist in Hays, KS

Active since June 13, 2013PECOS Enrolled
94.16/100
CMS Quality Rating
1517 E 27TH ST, HAYS, KS 67601(785) 625-2226(785) 625-9167 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2020, Feb 29, 2016 (2 updates tracked since 2016).

About Dr. Nicholas Edward Mondero O.d. NPPES

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

DR. NICHOLAS EDWARD MONDERO O.D. (NPI 1942648852) is an individual optometrist in Hays, Kansas, licensed in Kansas (1954) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1942648852
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. NICHOLAS EDWARD MONDEROCredential: O.D.
Location Address1517 E 27TH STHays, KS 67601-2111
Mailing Address1517 E 27th StHays, KS 67601-2111 · (785) 625-2226 · Fax (785) 625-9167
Phone(785) 625-2226
Fax(785) 625-9167
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 13, 2013
Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1942648852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KS · 1954
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.
1517 E 27TH ST, Hays, KS 67601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Edward Mondero O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224278262
PECOS Enrollment IDI20130715000793
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 8

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 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.
303 services303 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.
123 services84 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.
98 services93 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).
44 services42 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
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.
38 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67601 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

94.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.33
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
78%143 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
65%31 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%3,645 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
73%3,713 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,485 patients
Patients screened: 99% · 1,485 patients
97%185 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
88%43 patients
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 3

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

DR. MICHAEL ALAN HATTAN OD
Optometrist
1517 E 27TH ST
HAYS, KS 67601
Ellis County (785) 625-2226
DR. ANTHONY J TAYLOR O.D.
Optometrist
1517 E 27TH ST
HAYS, KS 67601
Ellis County (785) 342-2882
MICHAEL A HATTAN OD
Optometrist
1517 E 27TH ST
HAYS, KS 67601
Ellis County (785) 625-2226

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 Nicholas Mondero's NPI number?

The NPI number for Nicholas Mondero is 1942648852. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Nicholas Mondero located?

Nicholas Mondero practices at 1517 E 27th St, Hays, KS 67601. The listed phone number is (785) 625-2226.

What is Nicholas Mondero's specialty?

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

Is Nicholas Mondero enrolled in Medicare?

Yes. Nicholas Mondero is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Mondero accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Nicholas Mondero 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 Nicholas Mondero was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.