DR. SCOTT C KRIESSLER (O.D.) – Optometrist, NPI 1902854136

DR. SCOTT C KRIESSLER (O.D.) is a healthcare provider. based in Willoughby, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4657 T1432 (OH). The NPI Number for DR. SCOTT C KRIESSLER (O.D.) is 1902854136

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT C KRIESSLER (O.D.)
NPI
1902854136
Phone
(440) 585-2020
Address
5900 SOM CENTER RD
Enumeration Date
4 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
4405852020
Graduation Year
1995 (31 years ago)
PAC ID
2860382801
Group Practice PAC ID
3971493917
Professional Enrollment ID
I20100125000550
Address ID
OH440943044WI5900XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. SCOTT C KRIESSLER (O.D.)

  • Sport Clips, 5900, S.O.M. Center Road, Willoughby, Lake County, Ohio, 44094, United States

    SUITE 19

    WILLOUGHBY, OH 440943086

    Phone: (440) 585-2020

    Fax: (440) 585-2044

    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 28 Open Payments records for all available years, with a total value of $491.

Total Amount is formed as General ($491) + Research ($0) + Ownership ($0) = $491.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($256).

Total Amount

$491

General + Research + Ownership

Payments

28

Total payment records

General Amount

$491

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-01-25

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
I20100125000550IOptometryOHTBD

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
92014Established patient complete exam of visual system8787$0
92004New patient complete exam of visual system3232$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 44094)

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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: 3971493917View 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

What unique ID ties claims to DR. SCOTT C KRIESSLER (O.D.)?
NPI 1902854136 is assigned to DR. SCOTT C KRIESSLER (O.D.) under the national enumeration system.
Is DR. SCOTT C KRIESSLER (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. SCOTT C KRIESSLER (O.D.) work in?
You can think of DR. SCOTT C KRIESSLER (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. SCOTT C KRIESSLER (O.D.)'s primary listing?
We display Willoughby, Ohio because that is what the record indicates for DR. SCOTT C KRIESSLER (O.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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