BENJAMIN T DASTRUP MD
NPI 1073797809
Ophthalmology in South Ogden, UT

Active since December 28, 2007PECOS EnrolledAccepts Medicare Assignment
93.33/100
CMS Quality Rating
1483 E RIDGELINE DR STE 100, SOUTH OGDEN, UT 84405(801) 399-1149(801) 399-0248 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin T Dastrup Md NPPES

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

BENJAMIN T DASTRUP MD (NPI 1073797809) is an individual ophthalmology provider in South Ogden, Utah, licensed in Utah (5484681) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Columbia University College Of Physicians And Surgeons (2005).

NPPES Registry Identity

NPI1073797809
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBENJAMIN T DASTRUPCredential: MD
Location Address1483 E RIDGELINE DR STE 100South Ogden, UT 84405-4977
Mailing Address875 Country Hills DrOgden, UT 84403-2200 · (801) 399-1149 · Fax (801) 394-4481
Fax(801) 399-0248
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2005
Enumeration DateDecember 28, 2007
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
NPI 1073797809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in UT · 5484681 Licensed in IN · 01062307
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1483 E RIDGELINE DR STE 100, South Ogden, UT 84405

Secondary Practice Locations 2

Location 1875 Country Hills DrOgden, UT 84403-2200 · Phone (801) 399-1149 · Fax (801) 394-4481
Location 25991 S 3500 W Ste 400Roy, UT 84067-6702 · Phone (801) 399-1149 · Fax (801) 399-0248

Other Identifiers 2

Medicaid1073797809UT
Other000069325UT · Ptan (self)

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

Benjamin T Dastrup Md 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 ID8628123783
PECOS Enrollment IDI20100705000013
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 19

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
648 services434 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.
292 services194 patients
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.
266 services260 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.
263 services231 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).
225 services212 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
223 services167 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84405 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

93.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.66
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
98%418 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
85%1,136 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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
2 suppliers14 claims14 services$59.42 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 4

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

Optometrist
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 84405
Ophthalmology
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 84405
Specialist
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 84405
Ophthalmology
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 84405

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 Benjamin Dastrup's NPI number?

The NPI number for Benjamin Dastrup is 1073797809. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Where is Benjamin Dastrup located?

Benjamin Dastrup practices at 1483 E Ridgeline Dr Ste 100, South Ogden, UT 84405. The listed phone number is (801) 399-1149.

What is Benjamin Dastrup's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Benjamin Dastrup enrolled in Medicare?

Yes. Benjamin Dastrup 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 Benjamin Dastrup accept?

Health plans from Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Molina Healthcare, Providence Health Plan and Regence BlueCross BlueShield of Utah and 2 other insurers list Benjamin Dastrup 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 Benjamin Dastrup was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.