YUJIA ZHOU MD
NPI 1376037515
Ophthalmology in Sioux Falls, SD

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1621 S MINNESOTA AVE, SIOUX FALLS, SD 57105(605) 328-9200 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Jul 4, 2022, Jul 1, 2019 and 1 more (4 updates tracked since 2018).

About Yujia Zhou Md NPPES

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

YUJIA ZHOU MD (NPI 1376037515) is an individual ophthalmology provider in Sioux Falls, South Dakota, licensed in Florida (ME154892) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Palm Beach Gardens.

NPPES Registry Identity

NPI1376037515
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameYUJIA ZHOUCredential: MD
Location Address1621 S MINNESOTA AVESioux Falls, SD 57105-1743
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 20, 2018
Last NPPES UpdateJune 22, 20234 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
NPI 1376037515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in FL · ME154892 Licensed in SD · 13902
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.
1621 S MINNESOTA AVE, Sioux Falls, SD 57105

Secondary Practice Location 1

Location 17101 Fairway DrPalm Beach Gardens, FL 33418-3701 · Phone (561) 515-1500

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

Yujia Zhou 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 ID8921333501
PECOS Enrollment IDI20230811001207
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.

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.
208 services130 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.
127 services105 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).
122 services101 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 services88 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.
70 services70 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.
69 services56 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Nurse Practitioner
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Ophthalmology
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Psychiatry & Neurology (Psychiatry)
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Psychologist
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Psychologist
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Ophthalmology
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Ophthalmology
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Optometrist
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105

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 Yujia Zhou's NPI number?

The NPI number for Yujia Zhou is 1376037515. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Yujia Zhou located?

Yujia Zhou practices at 1621 S Minnesota Ave, Sioux Falls, SD 57105. The listed phone number is (605) 328-9200.

What is Yujia Zhou's specialty?

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

Is Yujia Zhou enrolled in Medicare?

Yes. Yujia Zhou 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 Yujia Zhou accept?

Health plans from Medica, Providence Health Plan, Sanford Health Plan and Security Health Plan list Yujia Zhou 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 Yujia Zhou affiliated with any hospitals?

According to CMS data, Yujia Zhou is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Yujia Zhou was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.