Active NPI 1700851383 Individual Practitioner Female Practitioner

Dr. Kristen Marie Semenick , OD

Optometrist • Dover, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kristen Semenick, OD is a certified Optometrist practicing in Dover, DE. With approximately 26 years of clinical experience since graduating from Pennsylvania College Of Optometry in 2000, Dr. Semenick delivers high-quality medical care to the local community at 833 SOUTH GOVERNORS AV.

Dr. Semenick is affiliated with Delaware Eye Care Center Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

833 South Governors Av

Dover, DE 199044158

Telephone 3026741121

Fax 3026743891

Associated Practice Facility / Clinic

🏢 Delaware Eye Care Center Pa Facility NPI 1932174505

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dover, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +3.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Dover, DE (166 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Semenick (26 Years) 26 Yrs

Dover Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,374	1,155	$247.00	$126.13
99213 Established patient office or other outpatient visit, typically 15 minutes	793	532	$171.00	$88.71
92134 Imaging of retina	671	523	$380.00	$39.26
92083 Exam of visual field with extended testing	456	402	$211.00	$61.68
92133 Imaging of optic nerve	386	377	$380.00	$35.35
92250 Photography of the retina	332	328	$170.00	$33.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	169	$114.00	$54.98
83861 Microfluid analysis of tears	126	60	$40.00	$21.71
65778 Insertion of amniotic membrane to eye surface	124	58	$2850.00	$1057.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$306.00	$164.88
76514 Ultrasound scan of cornea to determine thickness	70	70	$50.00	$10.33
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$90.00	$25.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$221.00	$110.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,062	739	$171.16	$89.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,047	896	$247.00	$126.70
92134 Imaging of retina	561	432	$380.00	$40.10
92083 Exam of visual field with extended testing	441	381	$211.96	$62.54
92133 Imaging of optic nerve	370	361	$380.00	$36.28
92250 Photography of the retina	312	307	$170.00	$35.27
83861 Microfluid analysis of tears	148	66	$40.00	$22.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$306.00	$166.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	97	$114.00	$56.23
76514 Ultrasound scan of cornea to determine thickness	93	86	$50.54	$10.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$221.00	$112.41
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$90.00	$27.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,971	1,280	$171.09	$91.63
92134 Imaging of retina	546	432	$380.00	$41.00
92133 Imaging of optic nerve	368	354	$380.00	$37.25
92083 Exam of visual field with extended testing	352	320	$211.00	$63.92
83861 Microfluid analysis of tears	310	142	$40.00	$22.12
92250 Photography of the retina	143	141	$170.00	$36.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$306.00	$167.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	114	$247.00	$129.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	89	$114.00	$57.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$221.00	$114.01
76514 Ultrasound scan of cornea to determine thickness	49	45	$50.00	$11.19
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$90.00	$28.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,528	1,123	$171.00	$92.85
92134 Imaging of retina	590	443	$380.00	$41.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	428	406	$247.00	$131.74
92133 Imaging of optic nerve	403	390	$380.00	$37.84
92083 Exam of visual field with extended testing	400	363	$211.00	$64.67
92012 Established patient problem focused exam of visual system	342	280	$160.00	$91.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	137	$114.00	$57.41
83861 Microfluid analysis of tears	137	55	$40.00	$22.48
92250 Photography of the retina	119	115	$170.00	$38.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$306.50	$171.36
76514 Ultrasound scan of cornea to determine thickness	58	56	$50.00	$11.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$221.00	$113.30
92014 Established patient complete exam of visual system	20	20	$200.00	$130.22
92020 Examination of cornea and iris using lens device and slit lamp	17	15	$90.00	$28.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	826	757	$200.73	$129.94
92012 Established patient problem focused exam of visual system	785	529	$160.12	$90.83
92134 Imaging of retina	469	355	$380.00	$42.03
92133 Imaging of optic nerve	345	335	$380.00	$38.43
92083 Exam of visual field with extended testing	314	291	$211.00	$65.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	233	$247.00	$112.23
99213 Established patient office or other outpatient visit, typically 15 minutes	176	173	$171.00	$77.04
92250 Photography of the retina	107	106	$170.00	$44.28
76514 Ultrasound scan of cornea to determine thickness	63	61	$50.00	$11.82
92004 New patient complete exam of visual system	53	53	$240.00	$155.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	25	$114.00	$47.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$306.00	$170.24
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$90.00	$28.66
92002 New patient problem focused exam of visual system	12	12	$180.00	$87.31
92082 Exam of visual field with intermediate testing	11	11	$152.00	$49.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,274	711	$159.95	$89.94
92014 Established patient complete exam of visual system	1,167	990	$200.17	$128.95
92134 Imaging of retina	509	379	$380.00	$41.81
92083 Exam of visual field with extended testing	397	369	$210.75	$65.58
92133 Imaging of optic nerve	391	377	$380.00	$37.74
92250 Photography of the retina	121	120	$170.00	$48.29
92004 New patient complete exam of visual system	91	91	$240.00	$154.55
76514 Ultrasound scan of cornea to determine thickness	84	77	$50.00	$12.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$306.00	$166.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$247.00	$109.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$221.00	$111.10
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$171.00	$76.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,180	634	$160.03	$85.97
92014 Established patient complete exam of visual system	1,129	933	$200.06	$124.22
92134 Imaging of retina	537	386	$379.43	$40.75
92083 Exam of visual field with extended testing	374	343	$211.00	$63.21
92133 Imaging of optic nerve	334	331	$380.00	$37.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$306.42	$161.83
92250 Photography of the retina	121	117	$170.00	$53.48
76514 Ultrasound scan of cornea to determine thickness	76	75	$50.00	$14.37
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$171.00	$72.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$247.00	$106.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$221.00	$107.19
92004 New patient complete exam of visual system	16	16	$240.00	$149.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,056	627	$171.16	$71.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	645	593	$247.86	$105.18
92134 Imaging of retina	373	320	$380.00	$39.81
92083 Exam of visual field with extended testing	272	260	$211.00	$61.84
92133 Imaging of optic nerve	223	214	$380.00	$36.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	183	183	$307.50	$160.80
92014 Established patient complete exam of visual system	128	128	$201.56	$121.30
92250 Photography of the retina	94	93	$170.00	$64.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	74	$114.00	$42.80
76514 Ultrasound scan of cornea to determine thickness	79	79	$50.00	$14.08
92004 New patient complete exam of visual system	39	39	$240.00	$146.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$221.00	$107.27

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License DE 130001300

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1000037722 (DE)

Commercial Insurance / Payer ID Bcbs Of Delaware

510111OPT (DE)

Commercial Insurance / Payer ID Ameri Health

2623617000 (DE)

Hospital & Practice Group Affiliations

Delaware Eye Care Center Pa

16 Old Rudnick Ln, Dover, DE 199014912

Phone: 3027341760

Delaware Eye Care Center Pa

833 S Governors Ave, Dover, DE 199044158

Phone: 3026741121

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Gary Markowitz , MD

Ophthalmology

NPI 1316912983

Doctor of Medicine (M.D.)

Dr. Andrew Berman , OD

Optometrist

NPI 1487681284

Doctor of Optometry

Dr. Timothy Doyle , DO

Ophthalmology

NPI 1700017902

Doctor of Osteopathic Medicine (D.O.)

Dr. Nikita Levy , OD

Optometrist

NPI 1942669957

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 29, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 29, 2010

Registered at 833 SOUTH GOVERNORS AV, DOVER, DE 199044158 (Tel: 3026741121)

📍

Updated Business Mailing Address July 29, 2010

Registered at 833 SOUTH GOVERNORS AV, DOVER, DE 199044158 (Tel: 3026741121)

👤

Provider Name / Credentials Updated July 29, 2010

Recorded as KRISTEN SEMENICK, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2010

Optometrist (License #130001300 in DE)

🟢

Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Kristen Semenick. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1700851383

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 17, 2006

Last Update: July 29, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

833 South Governors Av

Dover, DE 199044158

Phone: 3026741121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.