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DR. ELAINE VICTORIA PETRY O.D.
NPI 1083296669
Optometrist in Spearfish, SD

Active since April 23, 2021PECOS Enrolled
1236 NORTH AVE, SPEARFISH, SD 57783(605) 642-2645 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2022, Aug 11, 2021, Jul 21, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Elaine Victoria Petry O.d. NPPES

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

DR. ELAINE VICTORIA PETRY O.D. (NPI 1083296669) is an individual optometrist in Spearfish, South Dakota, licensed in South Dakota (785) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Deadwood, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083296669
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ELAINE VICTORIA PETRYCredential: O.D.
Location Address1236 NORTH AVESpearfish, SD 57783-1533
Mailing Address1001 N Grand AveTahlequah, OK 74464-7017 · (918) 444-4000
Phone(605) 642-2645
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 23, 2021
Last NPPES UpdateAugust 29, 20224 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1083296669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in SD · 785
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.
1236 NORTH AVE, Spearfish, SD 57783
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Secondary Practice Location 1

Location 188 Charles StDeadwood, SD 57732-1303 · Phone (605) 578-1761

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elaine Victoria Petry O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416352125
PECOS Enrollment IDI20220913001797
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 9

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.
131 services130 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.
74 services68 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
50 services50 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.
47 services35 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).
46 services41 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.
24 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 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.

Other Providers at the Same Location NPPES 2

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

JESSICA R CZERNY O.D.
Optometrist
1236 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 642-2645
MOUNTAIN VALLEY VISION CENTER
Optometrist
1236 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 642-2645

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 Elaine Petry's NPI number?

The NPI number for Elaine Petry is 1083296669. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Elaine Petry located?

Elaine Petry practices at 1236 North Ave, Spearfish, SD 57783. The listed phone number is (605) 642-2645.

What is Elaine Petry's specialty?

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

Is Elaine Petry enrolled in Medicare?

Yes. Elaine Petry is registered in the Medicare PECOS enrollment system.

What insurance does Elaine Petry accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Medica and 2 other insurers list Elaine Petry 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 Elaine Petry was last updated on August 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.