DR. DANIEL JAMES VAN ELK OD
NPI 1194216937
Optometrist in Saint Joseph, MI

Active since May 29, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2848 NILES RD, SAINT JOSEPH, MI 49085(269) 428-3300(269) 428-5005 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Feb 7, 2020 (2 updates tracked since 2020).

About Dr. Daniel James Van Elk Od NPPES

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

DR. DANIEL JAMES VAN ELK OD (NPI 1194216937) is an individual optometrist in Saint Joseph, Michigan, licensed in Michigan (4901005107) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains a secondary practice location in Niles.

NPPES Registry Identity

NPI1194216937
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DANIEL JAMES VAN ELKCredential: OD
Location Address2848 NILES RDSaint Joseph, MI 49085-3352
Mailing Address2848 Niles RdSaint Joseph, MI 49085-3352 · (269) 428-3300 · Fax (269) 428-5005
Fax(269) 428-5005
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2018
Enumeration DateMay 29, 2018
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1194216937 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 MI · 4901005107
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.
2848 NILES RD, Saint Joseph, MI 49085

Secondary Practice Location 1

Location 1120 Longmeadow Village DrNiles, MI 49120-7808 · Phone (269) 684-6400

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. Daniel James Van Elk Od 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 ID6901130913
PECOS Enrollment IDI20190625003467
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.
868 services845 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.
439 services376 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).
429 services394 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.
203 services189 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.
201 services193 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
145 services128 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
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
5 suppliers20 claims20 services$48.20 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
4 suppliers17 claims31 services$19.14 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 16

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

Ophthalmology (Retina Specialist)
2848 NILES RD
SAINT JOSEPH, MI 49085
Clinic/Center (Ambulatory Surgical)
2848 NILES RD, SUITE B
SAINT JOSEPH, MI 49085
Optometrist
2848 NILES RD
SAINT JOSEPH, MI 49085
Optometrist
2848 NILES RD
SAINT JOSEPH, MI 49085
Nurse Anesthetist, Certified Registered
2848 NILES RD
SAINT JOSEPH, MI 49085
Ophthalmology
2848 NILES RD
SAINT JOSEPH, MI 49085
Optometrist
2848 NILES RD
SAINT JOSEPH, MI 49085
Ophthalmology
2848 NILES RD
SAINT JOSEPH, MI 49085

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 Daniel Van Elk's NPI number?

The NPI number for Daniel Van Elk is 1194216937. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Daniel Van Elk located?

Daniel Van Elk practices at 2848 Niles Rd, Saint Joseph, MI 49085. The listed phone number is (269) 428-3300.

What is Daniel Van Elk's specialty?

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

Is Daniel Van Elk enrolled in Medicare?

Yes. Daniel Van Elk 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 Daniel Van Elk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Daniel Van Elk 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.

Is Daniel Van Elk affiliated with any hospitals?

According to CMS data, Daniel Van Elk is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Daniel Van Elk was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.