ADAM JORGENSEN M.D.
NPI 1366700460
Ophthalmology - Glaucoma Specialist in Rapid City, SD

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
2800 3RD ST, RAPID CITY, SD 57701(605) 341-2000(605) 719-3221 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2021, Jun 18, 2018 (2 updates tracked since 2018).

About Adam Jorgensen M.d. NPPES

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

ADAM JORGENSEN M.D. (NPI 1366700460) is an individual glaucoma specialist in Rapid City, South Dakota, licensed in South Dakota (10322) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and is a graduate of University Of Utah School Of Medicine (2012).

NPPES Registry Identity

NPI1366700460
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameADAM JORGENSENCredential: M.D.
Location Address2800 3RD STRapid City, SD 57701
Mailing Address2800 3rd StreetRapid City, SD 57701-0000 · (605) 341-2000 · Fax (605) 719-3221
Fax(605) 719-3221
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2012
Enumeration DateApril 26, 2012
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
NPI 1366700460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in SD · 10322
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
2800 3RD ST, Rapid City, SD 57701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Adam Jorgensen M.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 ID2163652512
PECOS Enrollment IDI20170623001480, I20171020002209
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 24

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.
498 services368 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.
429 services304 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.
423 services262 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.
370 services355 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.
254 services211 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).
238 services233 patients

Hospital Affiliations CMS Care Compare

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

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

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.

75.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost17.99

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
3 suppliers25 claims25 services$50.24 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers20 claims39 services$46.81 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 20

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

Ophthalmology
2800 3RD ST
RAPID CITY, SD 57701
Ophthalmology (Retina Specialist)
2800 3RD ST
RAPID CITY, SD 57701
Optometrist
2800 3RD ST
RAPID CITY, SD 57701
Clinic/Center
2800 3RD ST
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
2800 3RD ST
RAPID CITY, SD 57701
Ophthalmology
2800 3RD ST
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
2800 3RD ST
RAPID CITY, SD 57701
Ophthalmology
2800 3RD ST
RAPID CITY, SD 57701

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 Adam Jorgensen's NPI number?

The NPI number for Adam Jorgensen is 1366700460. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Adam Jorgensen located?

Adam Jorgensen practices at 2800 3rd St, Rapid City, SD 57701. The listed phone number is (605) 341-2000.

What is Adam Jorgensen's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Adam Jorgensen enrolled in Medicare?

Yes. Adam Jorgensen 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 Adam Jorgensen accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Adam Jorgensen 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 Adam Jorgensen affiliated with any hospitals?

According to CMS data, Adam Jorgensen is affiliated with Avera St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Adam Jorgensen was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.