JUSTIN A SCHWEITZER O.D.
NPI 1023047867
Optometrist in Sioux Falls, SD
About Justin A Schweitzer O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN A SCHWEITZER O.D. (NPI 1023047867) is an individual optometrist in Sioux Falls, South Dakota, licensed in South Dakota (625) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2006).
NPPES Registry Identity
Specialties & Licenses
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.
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
Justin A Schweitzer 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.
Areas of Expertise CMS Part B claims 15
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Eye Exam | 100% | 28 |
| Documentation of Current Medications in the Medical Record | 98% | 1805 |
| Falls: Screening for Future Fall Risk | 79% | 864 |
| Glaucoma Intraocular Pressure Reduction | 99% | 357 |
| Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care | 100% | 420 |
| Provide Patients Electronic Access to Their Health Information | 92% | 614 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 888 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 888 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 888 |
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIOUX FALLS, SD 57108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023047867, enumerated as an "individual" on July 02, 2006.
The provider is located at 3101 W 57TH ST SIOUX FALLS, SD 57108 and the phone number is (605) 361-3937.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Avera Health Plans and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
