Active NPI 1346692498 Individual Practitioner Female Practitioner

Dr. Kristia Isabel Mardones , OD

Optometrist • Hamilton, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kristia Mardones, OD is a certified Optometrist practicing in Hamilton, NJ. With approximately 10 years of clinical experience since graduating from Pacific University - College Of Optometry in 2016, Dr. Mardones delivers high-quality medical care to the local community at 1700 WHITEHORSE HAMILTON SQUARE RD.

Dr. Mardones is affiliated with Ophthalmic Physicians Of Monmouth Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1700 Whitehorse Hamilton Square Rd

Hamilton, NJ 086903536

Telephone 6095872020

Fax 4105465005

Associated Practice Facility / Clinic

🏢 Hamilton Internal Medicine Associates, Llc Facility NPI 1780778860

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Hamilton, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -15.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Hamilton, NJ (1616 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mardones (10 Years) 10 Yrs

Hamilton Specialty Average (25.0 Years) 25.0 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
92014 Established patient complete exam of visual system	261	259	$177.62	$134.81
92250 Photography of the retina	181	173	$149.12	$39.62
92012 Established patient problem focused exam of visual system	161	121	$110.00	$95.67
92133 Imaging of optic nerve	54	54	$123.61	$37.98
92004 New patient complete exam of visual system	49	49	$201.22	$159.26
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$250.00	$96.82
92083 Exam of visual field with extended testing	43	42	$128.37	$68.38
92134 Imaging of retina	32	32	$103.13	$43.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	669	660	$162.00	$128.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	138	$165.00	$131.08
92133 Imaging of optic nerve	164	163	$70.00	$37.27
99213 Established patient office or other outpatient visit, typically 15 minutes	145	117	$115.00	$91.67
92004 New patient complete exam of visual system	96	96	$195.00	$152.17
92083 Exam of visual field with extended testing	79	73	$120.00	$63.78
92134 Imaging of retina	56	56	$70.00	$41.13
67820 Removal of eyelashes using forceps	27	25	$93.33	$20.79
76514 Ultrasound scan of cornea to determine thickness	18	18	$54.00	$10.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$216.00	$170.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	750	719	$162.00	$130.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	205	$165.00	$132.85
92133 Imaging of optic nerve	203	200	$70.00	$37.70
92004 New patient complete exam of visual system	149	149	$195.00	$156.07
92083 Exam of visual field with extended testing	86	80	$120.00	$64.43
99213 Established patient office or other outpatient visit, typically 15 minutes	86	76	$115.00	$94.76
92134 Imaging of retina	76	73	$70.00	$42.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$216.00	$174.25
67820 Removal of eyelashes using forceps	13	13	$103.38	$22.15
92012 Established patient problem focused exam of visual system	11	11	$113.00	$93.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	581	557	$162.01	$132.01
92004 New patient complete exam of visual system	242	242	$195.00	$155.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	151	$165.00	$134.62
92133 Imaging of optic nerve	156	155	$70.00	$38.36
99213 Established patient office or other outpatient visit, typically 15 minutes	102	88	$115.00	$95.69
92134 Imaging of retina	68	67	$70.00	$42.76
92083 Exam of visual field with extended testing	64	61	$120.00	$65.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$215.04	$175.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$140.00	$117.79
92012 Established patient problem focused exam of visual system	22	21	$113.00	$93.96
67820 Removal of eyelashes using forceps	19	19	$110.53	$24.91
92060 Exam to measure eye deviation and range of motion	13	12	$86.00	$66.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	502	489	$162.00	$131.04
92012 Established patient problem focused exam of visual system	285	202	$113.00	$92.41
92004 New patient complete exam of visual system	232	232	$195.00	$156.52
92133 Imaging of optic nerve	130	129	$70.00	$38.23
92002 New patient problem focused exam of visual system	79	79	$130.00	$87.65
92134 Imaging of retina	70	69	$70.00	$42.05
92083 Exam of visual field with extended testing	67	66	$120.00	$66.64
67820 Removal of eyelashes using forceps	20	17	$88.20	$28.68
92060 Exam to measure eye deviation and range of motion	15	13	$86.00	$66.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	530	508	$162.00	$129.91
92012 Established patient problem focused exam of visual system	375	241	$113.22	$90.97
92004 New patient complete exam of visual system	363	363	$195.00	$154.89
92133 Imaging of optic nerve	154	152	$70.00	$37.58
92002 New patient problem focused exam of visual system	104	104	$130.00	$87.43
92083 Exam of visual field with extended testing	88	83	$119.43	$66.24
92134 Imaging of retina	73	72	$70.00	$42.34
76514 Ultrasound scan of cornea to determine thickness	37	36	$54.00	$12.50
67820 Removal of eyelashes using forceps	19	17	$88.42	$35.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$216.00	$170.46
92060 Exam to measure eye deviation and range of motion	12	12	$86.00	$67.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	434	390	$162.08	$129.59
92004 New patient complete exam of visual system	388	388	$195.00	$153.89
92012 Established patient problem focused exam of visual system	305	195	$113.11	$90.01
92133 Imaging of optic nerve	149	145	$70.00	$38.50
92002 New patient problem focused exam of visual system	91	91	$130.00	$84.60
92134 Imaging of retina	81	80	$70.00	$42.31
92083 Exam of visual field with extended testing	78	75	$120.00	$64.56
67820 Removal of eyelashes using forceps	34	30	$98.82	$44.67
76514 Ultrasound scan of cornea to determine thickness	21	21	$54.00	$15.01
92060 Exam to measure eye deviation and range of motion	20	17	$86.00	$66.52
92250 Photography of the retina	12	12	$113.00	$57.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	376	376	$195.00	$152.02
92012 Established patient problem focused exam of visual system	358	243	$113.05	$86.92
92014 Established patient complete exam of visual system	314	287	$162.21	$125.32
92133 Imaging of optic nerve	114	113	$70.00	$37.92
92134 Imaging of retina	81	75	$70.00	$41.57
92083 Exam of visual field with extended testing	77	69	$120.00	$65.98
92002 New patient problem focused exam of visual system	60	60	$130.00	$83.11
92060 Exam to measure eye deviation and range of motion	26	19	$86.00	$64.82
67820 Removal of eyelashes using forceps	23	19	$91.30	$53.63
76514 Ultrasound scan of cornea to determine thickness	20	19	$54.00	$14.66
92250 Photography of the retina	11	11	$113.00	$67.69

Medical Specialties & State Licenses

CMS Verified: 2024-01-15

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NJ 27OA00723700

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.

Hospital & Practice Group Affiliations

Ophthalmic Physicians Of Monmouth Pa

733 N Beers St, Holmdel, NJ 077331513

Phone: 7327390707

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Mitchel Sosis , MD

Anesthesiology

NPI 1154303295

Doctor of Medicine (M.D.)

Dr. Ranjodh Singh , MD

Ophthalmology

NPI 1164958294

Doctor of Medicine (M.D.)

Monica Joshi

Optometrist

NPI 1184325318

Dr. Alex Azar , MD

Ophthalmology

NPI 1205839420

Doctor of Medicine (M.D.)

Dr. Theodore Shafman , OD

Optometrist

NPI 1275625139

Doctor of Optometry

Sonam Vaishnani

Optometrist

NPI 1417792276

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 15, 2024

Registered at 1700 WHITEHORSE HAMILTON SQUARE RD, HAMILTON, NJ 086903536 (Tel: 6095872020)

📍

Updated Business Mailing Address January 15, 2024

Registered at 1700 WHITEHORSE HAMILTON SQUARE RD, HAMILTON, NJ 086903536 (Tel: 6095872020)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2024

Optometrist (License #27OA00723700 in NJ)

✅

NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2016

Registered at 31519 WINTERPLACE PKWY, STE 1, SALISBURY, MD 218041894 (Tel: 4105462500)

📍

Updated Business Mailing Address July 18, 2016

Registered at 31519 WINTERPLACE PKWY, STE 1, SALISBURY, MD 218041894 (Tel: 4105462500)

👤

Provider Name / Credentials Updated July 18, 2016

Recorded as KRISTIA MARDONES, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Optometrist (License #TA2556 in MD)

🟢

Initial NPI Registration & Enumeration July 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346692498

Entity Type:

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

Enumeration Date: July 12, 2016

Last Update: January 15, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1700 Whitehorse Hamilton Square Rd

Hamilton, NJ 086903536

Phone: 6095872020

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.