Individual provider Active NPI

Adam Jorgensen, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Rapid City, SD
National Provider Identifier
1366700460
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
10322 Issued in SD
Practice address
2800 3Rd St
Rapid City, SD 57701
Phone
(605) 341-2000
Fax
(605) 719-3221
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207WX0009X 10322 SD Primary

Addresses

Primary practice location

2800 3Rd St
Rapid City, SD 57701

Mailing address

2800 3Rd Street
Rapid City, SD 57701-0000
Phone (605) 341-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WY2 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

Enrollment IDStateProvider typePAC IDDetails
I20170623001480 SD Practitioner - Ophthalmology 2163652512 Reassigns benefits to 1 organization
I20171020002209 WY Practitioner - Ophthalmology 2163652512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2800 3Rd St
Rapid City, SD 57701-7374
Phone (605) 341-2000

809 E Dakota Ave
Pierre, SD 57501-3390
Phone (605) 224-6639

910 Harmon St
Sturgis, SD 57785-2556
Phone (605) 347-2666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.21 of 100Reported as group
Quality
98.64
Promoting interoperability
100
Improvement activities
40
Cost
35.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Regional Eye Institute, LLP Single Specialty CurrentSince Jul 29, 2017 Accepting new patients

Locations

809 E Dakota Ave
Pierre, SD 57501
Phone (605) 224-3100

2800 3rd St
Ste 2
Rapid City, SD 57701

2800 3rd St
Rapid City, SD 57701
Phone (605) 341-2000

Interoperability endpoints

  • Direct secure messaging: ajorgensen@bhrei.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1366700460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 3RD STREET",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010000",
            "telephone_number": "605-341-2000",
            "fax_number": "605-719-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 3RD ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-341-2000",
            "fax_number": "605-719-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "SD",
            "license": "10322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.