Individual provider Active NPI

Zachary Joe Berbos, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Rapid City, SD
National Provider Identifier
1497996433
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
13158 Issued in SD
Practice address
2800 3Rd St
Rapid City, SD 57701-7374
Phone
(605) 341-2000
NPI assigned
Mar 22, 2009
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 45991 AZ
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 45991 AZ
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 13158 SD Primary

Addresses

Primary practice location

2800 3Rd St
Rapid City, SD 57701-7374

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (602) 955-1000

Other practice location 1

8763 E Bell Rd Ste 106
Scottsdale, AZ 85260-1318
Phone (602) 955-1000

Other practice location 2

1055 S Stapley Dr
Mesa, AZ 85204-5098
Phone (480) 892-8400

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
I20220427000877 SD Practitioner - Ophthalmology 8123150869 Reassigns benefits to 1 organization
I20231025001268 WY Practitioner - Ophthalmology 8123150869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Regional Eye Institute LLPGroup PAC ID 0547156762, shared by 2 NPIs, 13 clinicians

Practice addresses (Care Compare)

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

3100 W Lakeway Rd
Suite 2
Gillette, WY 82718-6373
Phone (307) 686-0883

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
Melanoma (skin cancer) excision59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13158SDMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Regional Eye Institute, LLP Ophthalmology CurrentSince May 1, 2022 Accepting new patients
Black Hills Regional Eye Institute, LLP Ophthalmology CurrentSince Oct 20, 2023 Accepting new patients
Black Hills Regional Eye Institute, LLP Ophthalmology CurrentSince May 1, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Past Accepting new patients
Oculoplastic Surgery, Inc. Ophthalmology PastSince Oct 1, 2023 Accepting new patients
Med-Cure Internal Medicine, PLC PastSince Jun 12, 2009 Accepting new patients

Locations

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

2800 3rd St
Ste 2
Rapid City, SD 57701

3100 W Lakeway Rd
Ste 2
Gillette, WY 82718
Phone (307) 686-0883

906 W 6th St
Gillette, WY 82716
Phone (307) 686-0883

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBDIAA
  • Direct secure messaging: zberbos@bhrei.emadirect.md

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1497996433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000"
        },
        {
            "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": "577017374",
            "telephone_number": "605-341-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8763 E Bell Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852601318",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 S Stapley Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045098",
            "country_code": "US",
            "telephone_number": "480-892-8400",
            "fax_number": "480-654-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERBOS",
        "first_name": "ZACHARY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-22",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "45991",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "45991",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "SD",
            "license": "13158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.