ANDREA BORDEWYK MD
NPI 1255829776
Ophthalmology in Sioux Falls, SD

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment
90.17/100
CMS Quality Rating
6601 S MINNESOTA AVE STE 200, SIOUX FALLS, SD 57108(605) 336-6294 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, Jul 12, 2023, Jun 5, 2019 and 1 more (4 updates tracked since 2018).

About Andrea Bordewyk Md NPPES

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

ANDREA BORDEWYK MD (NPI 1255829776) is an individual ophthalmology provider in Sioux Falls, South Dakota, licensed in South Dakota (14412) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255829776
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameANDREA BORDEWYKCredential: MD
Location Address6601 S MINNESOTA AVE STE 200Sioux Falls, SD 57108-2564
Mailing Address6601 S Minnesota Ave Ste 200Sioux Falls, SD 57108-2564
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 30, 2018
Last NPPES UpdateJune 11, 20264 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1255829776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in SD · 14412
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.
6601 S MINNESOTA AVE STE 200, Sioux Falls, SD 57108

Other Names 1

Former Name (1)Andrea Petersen

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

Andrea Bordewyk 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 ID7416205489
PECOS Enrollment IDI20230802004109
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 14

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
148 services95 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.
127 services76 patients
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.
125 services105 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.
123 services75 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.
108 services100 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients

Hospital Affiliations CMS Care Compare

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

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

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.

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.

90.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.39
Promoting Interoperability100
Improvement Activities40
Cost66.59

Other Providers at the Same Location NPPES 6

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

Ophthalmology
6601 S MINNESOTA AVE STE 200
SIOUX FALLS, SD 57108
Ophthalmology
6601 S MINNESOTA AVE STE 200
SIOUX FALLS, SD 57108
Ophthalmology
6601 S MINNESOTA AVE STE 200
SIOUX FALLS, SD 57108
Ophthalmology
6601 S MINNESOTA AVE STE 200
SIOUX FALLS, SD 57108
Optometrist
6601 S MINNESOTA AVE STE 200
SIOUX FALLS, SD 57108
Optometrist
6601 S MINNESOTA AVE STE 200
SIOUX FALLS, SD 57108

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 Andrea Bordewyk's NPI number?

The NPI number for Andrea Bordewyk is 1255829776. It was assigned to this individual provider in the NPPES registry on April 30, 2018. The provider is also known as Andrea Petersen.

Where is Andrea Bordewyk located?

Andrea Bordewyk practices at 6601 S Minnesota Ave Ste 200, Sioux Falls, SD 57108. The listed phone number is (605) 336-6294.

What is Andrea Bordewyk's specialty?

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

Is Andrea Bordewyk enrolled in Medicare?

Yes. Andrea Bordewyk 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 Andrea Bordewyk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Andrea Bordewyk 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 Andrea Bordewyk affiliated with any hospitals?

According to CMS data, Andrea Bordewyk is affiliated with Prairie Lakes Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Andrea Bordewyk was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.