Individual provider Active NPI

John Palmer Berdahl, M.D.

  • Ophthalmology Physician
  • Sioux Falls, SD
National Provider Identifier
1871761577
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7529 Issued in SD
Practice address
3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone
(605) 361-3937
Fax
(605) 371-7199
NPI assigned
Feb 15, 2008
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7529 SD Primary

Addresses

Primary practice location

3101 W 57TH St
Sioux Falls, SD 57108-3162

Mailing address

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 371-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MT2 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
I20090819000133 SD Practitioner - Ophthalmology 5092886127 Reassigns benefits to 1 organization
I20220207001717 MT Practitioner - Ophthalmology 5092886127

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Mayo Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 371-7100

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
93.82
Promoting interoperability
97
Improvement activities
40
Cost
71.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1327

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vance Thompson Vision Clinic Prof LLC Ophthalmology CurrentSince Apr 1, 2013 Accepting new patients
TTB Services Prof LLC PastSince Aug 1, 2022 Accepting new patients

Locations

1747 Poly Dr
Billings, MT 59102
Phone (406) 219-0700

1925 N 22nd Ave
Ste 201
Bozeman, MT 59718
Phone (406) 219-0700

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

Organizations & group practices 5

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": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1871761577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-371-7100",
            "fax_number": "605-371-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-361-3937",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDAHL",
        "first_name": "JOHN",
        "middle_name": "PALMER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": "7529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.