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DR. DAWN WATTENHOFER O.D.
NPI 1154390573
Optometrist in Rapid City, SD

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
85.82/100
CMS Quality Rating
318 MOUNT RUSHMORE RD STE A, RAPID CITY, SD 57701(605) 399-3937(605) 399-5910 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Dawn Wattenhofer O.d. NPPES

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

DR. DAWN WATTENHOFER O.D. (NPI 1154390573) is an individual optometrist in Rapid City, South Dakota, licensed in South Dakota (0553) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1998).

NPPES Registry Identity

NPI1154390573
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAWN WATTENHOFERCredential: O.D.
Location Address318 MOUNT RUSHMORE RD STE ARapid City, SD 57701-2762
Mailing Address318 Mount Rushmore Rd Ste ARapid City, SD 57701-2762 · (605) 399-3937 · Fax (605) 399-5910
Phone(605) 399-3937
Fax(605) 399-5910
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1998
Enumeration DateMarch 16, 2006
Last NPPES UpdateJanuary 12, 2015
✔ NPI 1154390573 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 · 0553
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.
318 MOUNT RUSHMORE RD STE A, Rapid City, SD 57701
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Other Identifiers 6

Medicaid9200982SD
Medicare PINS6984SD
Medicare UPINU72814SD
Medicare ID-Type Unspecified6985SD
Medicare PINS6985SD
Other0006985SD · Bcbs Of Sd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, 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 and accepts Medicare assignment

Dr. Dawn Wattenhofer 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 ID9032105531
PECOS Enrollment IDI20070905000068
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 12

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.
169 services168 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.
80 services55 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).
56 services44 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.
44 services35 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.
25 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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.

85.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.64
Improvement Activities40

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 Dawn Wattenhofer's NPI number?

The NPI number for Dawn Wattenhofer is 1154390573. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Dawn Wattenhofer located?

Dawn Wattenhofer practices at 318 Mount Rushmore Rd Ste A, Rapid City, SD 57701. The listed phone number is (605) 399-3937.

What is Dawn Wattenhofer's specialty?

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

Is Dawn Wattenhofer enrolled in Medicare?

Yes. Dawn Wattenhofer 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 Dawn Wattenhofer accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Dawn Wattenhofer 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 Dawn Wattenhofer was last updated on January 12, 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.