ANDREA BORDEWYK MD
NPI 1255829776
Ophthalmology in Sioux Falls, SD
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrea Bordewyk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57108
- Reassigned Medicare billing, South Dakota enrollment
- 14 clinicians in this Medicare group
Sioux Falls, SD 57108
- Reassigned Medicare billing, South Dakota enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, SDPhysician 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.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Andrea Bordewyk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Bordewyk reassigns Medicare benefits to 2 organizations: Ophthalmology Ltd (Sioux Falls, SD) and Ophthalmology Ltd Eye Surgery Center L L C (Sioux Falls, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Bordewyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Bordewyk accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans 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 4 months 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.