Daniel Andrew Chruscicki, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

24568 Issued in NE

Practice address

1710 S 70TH St
Lincoln, NE 68506-1676

Phone

(402) 484-9000

Fax

(402) 483-4223

NPI assigned

Apr 15, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

State University of New York at Stony Brook, School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Surgical Associates LLCGroup PAC ID 4082695721, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lincoln Surgical Hospital Hospital, Lincoln, NE, CCN 280127
• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dchruscicki@esane.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Surgical Associates, LLC

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1417952995

  KS, NE

  Medicare reassignment Care Compare group
• Sutton Skin and Eye Clinic PC

  • Dermatology Physician
  • Lincoln, NE
  • NPI 1881690261
  NPD (past)
• Peter Condax, M.D. PC

  • Ophthalmology Physician
  • Astoria, NY
  • NPI 1972704450

  Ophthalmology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation
• Lincoln Surgery Center LLC

  • Special Hospital
  • Lincoln, NE
  • NPI 1306849005

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1861666463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6068",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060068",
            "telephone_number": "402-484-9000",
            "fax_number": "402-483-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061676",
            "telephone_number": "402-484-9000",
            "fax_number": "402-483-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRUSCICKI",
        "first_name": "DANIEL",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NE",
            "license": "24568",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "24568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00870537",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "04-35151",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025619700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "24568",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchruscicki@esane.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Surgical Associates, LLC",
            "address_1": "1710 S 70th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronda Christiansen
• Heather Page Christianson, MD
• Emily Christman, MSE
• Jennifer Elisabeth Christo, AU.D.
• Kelli Christopherson, RN
• Khrystyna Chubyk
• Tetiana Chubyk
• Vasylyna Chubyk
• Yuliia Chubyk
• Hibah Wasim Chughtai

• All providers in Lincoln, NE
• Ophthalmology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.