DR. SARA M PRUSINSKI (OD) – Optometrist, NPI 1629147566

DR. SARA M PRUSINSKI (OD) is a healthcare provider. based in Medina, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4979T1849 (OH). The NPI Number for DR. SARA M PRUSINSKI (OD) is 1629147566

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SARA M PRUSINSKI (OD)
NPI
1629147566
Phone
(330) 722-8300
Address
3583 RESERVE COMMONS DR
Enumeration Date
7 November 2006
Last Update Date
10 May 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3303942020
Graduation Year
1998 (28 years ago)
PAC ID
5496785230
Group Practice PAC ID
5496892382
Professional Enrollment ID
I20061212000455
Address ID
OH444841940WA302XXNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. SARA M PRUSINSKI (OD)

  • 3583, Reserve Commons Drive, Medina Township, Medina County, Ohio, 44256, United States

    MEDINA, OH 442568180

    Phone: (330) 722-8300

    Fax: (330) 725-0445

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $631.

Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Glaukos Corporation ($146).

Total Amount

$631

General + Research + Ownership

Payments

14

Total payment records

General Amount

$631

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061212000455IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes178106$0
99214Established patient office or other outpatient visit, 30-39 minutes9493$0
92014Established patient complete exam of visual system3636$0
92134Imaging of retina3332$0
92083Exam of visual field with extended testing3333$0
View full utilization report →

Insurance plans in this area (ZIP 44256)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496892382View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

Is DR. SARA M PRUSINSKI (OD) listed with a National Provider Identifier?
Yes — DR. SARA M PRUSINSKI (OD) has NPI 1629147566 on file in the registry.
Is DR. SARA M PRUSINSKI (OD) shown as active in public data?
Registry records indicate DR. SARA M PRUSINSKI (OD) maintains an active NPI.
What kind of doctor is DR. SARA M PRUSINSKI (OD)?
DR. SARA M PRUSINSKI (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SARA M PRUSINSKI (OD)?
Directory geography for DR. SARA M PRUSINSKI (OD) centers on Medina, Ohio.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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