DR. JOSEPH DANIEL VANDENBERG OD
NPI 1265099170
Optometrist in Sun City Center, FL

Q: What is Joseph Vandenberg's NPI number?

The NPI number for Joseph Vandenberg is 1265099170. It was assigned to this individual provider in the NPPES registry on May 27, 2019.

Q: What is Joseph Vandenberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joseph Vandenberg was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 27, 2019PECOS EnrolledAccepts Medicare Assignment

85.71/100

CMS Quality Rating

3894 SUN CITY CENTER BLVD, SUN CITY CENTER, FL 33573(941) 792-2020 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, Sep 9, 2024, Jun 20, 2024 and 2 more (5 updates tracked since 2019).

On this page

About Dr. Joseph Daniel Vandenberg Od NPPES

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

DR. JOSEPH DANIEL VANDENBERG OD (NPI 1265099170) is an individual optometrist in Sun City Center, Florida, licensed in Florida (OPC5691) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265099170

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JOSEPH DANIEL VANDENBERGCredential: OD

Location Address3894 SUN CITY CENTER BLVDSun City Center, FL 33573-6806

Mailing AddressPo Box 11407Birmingham, AL 35246-8575 · (864) 359-1308 · Fax (239) 496-3939

Phone(941) 792-2020

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 27, 2019

Last NPPES UpdateApril 30, 20265 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1265099170 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 FL · OPC5691

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.

3894 SUN CITY CENTER BLVD, Sun City Center, FL 33573

Open in Google Maps ↗

Secondary Practice Locations 7

Location 12111 Bee Ridge RdSarasota, FL 34239-6104 · Phone (941) 792-2020

Location 26002 Pointe West BlvdBradenton, FL 34209-5531 · Phone (941) 792-2020

Location 32203 61st St WBradenton, FL 34209-5528 · Phone (941) 792-2020

Location 47915 US Highway 301 N Ste 101Ellenton, FL 34222-3532 · Phone (941) 792-2020

Location 51601 38th Ave NSt Petersburg, FL 33713-1926 · Phone (941) 792-2020

Location 66807 State Road 70 EBradenton, FL 34203-9743 · Phone (941) 792-2020

Location 71550 E Venice AveVenice, FL 34292-1661 · Phone (941) 792-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Joseph Daniel Vandenberg 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 ID5395070221

PECOS Enrollment IDI20190715000748

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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Vandenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Associates Of Manatee, LLP

22 mi

Ophthalmology

6002 POINTE WEST BLVD
Bradenton, FL 34209

Reassigned Medicare billing, Florida enrollment
64 clinicians in this Medicare group

NPI 1366483851 (941) 792-2020

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 16

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 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.

1,848 services1,258 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.

947 services794 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

577 services224 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.

466 services356 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).

454 services441 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.

348 services325 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

298 services296 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.

175 services175 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

148 services115 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

142 services139 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

111 services57 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

90 services90 patients

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.

77 services77 patients

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

34 services33 patients

Placement of amniotic membrane on eye surface for wound healing 65778

The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.

23 services16 patients

Removal of foreign body from external eye (conjunctiva) 65205

This procedure involves the careful extraction of a foreign object from the surface of your eye, specifically the conjunctiva. This could be dust, metal, or any small particle. A healthcare professional uses specialized tools to gently remove the object, thus alleviating discomfort and preventing potential damage to your eye.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33573 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

85.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

60.73

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

2 suppliers26 claims26 services$61.54 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers13 claims23 services$55.37 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

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

BYUNG-JOON AHN M.D.

Ophthalmology

3894 SUN CITY CENTER BLVD
SUN CITY CENTER, FL 33573

Hillsborough County (941) 792-2020

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 Joseph Vandenberg's NPI number?

The NPI number for Joseph Vandenberg is 1265099170. It was assigned to this individual provider in the NPPES registry on May 27, 2019.

Where is Joseph Vandenberg located?

Joseph Vandenberg practices at 3894 Sun City Center Blvd, Sun City Center, FL 33573. The listed phone number is (941) 792-2020.

What is Joseph Vandenberg's specialty?

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

Is Joseph Vandenberg enrolled in Medicare?

Yes. Joseph Vandenberg 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 organization bills Medicare for Joseph Vandenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Vandenberg reassigns Medicare benefits to Eye Associates Of Manatee, LLP (Bradenton, FL). The 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 Joseph Vandenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Vandenberg accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and AvMed and 14 other insurers list Joseph Vandenberg 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 Joseph Vandenberg was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.