DR. AMY M DEJONG O.D.
NPI 1013997147
Optometrist in Vermillion, SD

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
120 W MAIN ST, VERMILLION, SD 57069(605) 624-4291(604) 624-6822 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amy M Dejong O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMY M DEJONG O.D. (NPI 1013997147) is an individual optometrist in Vermillion, South Dakota, licensed in South Dakota (578) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2001).

NPPES Registry Identity

NPI1013997147
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AMY M DEJONGCredential: O.D.
Location Address120 W MAIN STVermillion, SD 57069-3036
Mailing Address120 W Main StVermillion, SD 57069-3036 · (605) 624-4291 · Fax (604) 624-6822
Fax(604) 624-6822
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2001
Enumeration DateJanuary 17, 2006
Last NPPES UpdateFebruary 27, 2015
NPI 1013997147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in SD · 578 Licensed in IA · 02198
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
120 W MAIN ST, Vermillion, SD 57069

Other Identifiers 18

Other4995791SD · Blue Shield Provider
Other578SD · Dakotacare Pin
Other6056244291SD · Vision Service Plan
OtherOP2175SD · Eyemed
Other11321SD · Avera Health Plans
Other200648368SD · Tricare/triwest Provider
Other238521SD · Midlands Choice, Aetna, Cigna
OtherI3186SD · Sanford Pin
Other399493Coventry Health Care Of Iowa
Other578SD · Dakotacare Provider Numbe
Medicare UPINU85806SD
Medicare PIN41775SD
Other2203601SD · Medica Unitedhealthcare
Medicaid9200863SD
Medicare PIN41823SD
Other9219420SD · Dakotacare Group Number
Medicare PINP01260966SD
Other32866SD · Sanford Health Plan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Amy M Dejong O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133115066
PECOS Enrollment IDI20040428000283
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
145 services145 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services64 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
57 services55 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
50 services46 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
29 services16 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
27 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.37
Promoting Interoperability79
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims12 services$54.17 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims22 services$45.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist (Corneal and Contact Management)
120 W MAIN ST
VERMILLION, SD 57069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Dejong's NPI number?

The NPI number for Amy Dejong is 1013997147. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Amy Dejong located?

Amy Dejong practices at 120 W Main St, Vermillion, SD 57069. The listed phone number is (605) 624-4291.

What is Amy Dejong's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Amy Dejong enrolled in Medicare?

Yes. Amy Dejong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Dejong accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 7 other insurers list Amy Dejong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Dejong was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.