BENJAMIN VERKUILEN OD
NPI 1376383935
Optometrist in Wahpeton, ND

Active since May 30, 2024PECOS EnrolledAccepts Medicare Assignment
332 2ND AVE N, WAHPETON, ND 58075(701) 642-7000 Get Directions Write a Review

NPPES record last updated: June 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin Verkuilen Od NPPES

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

BENJAMIN VERKUILEN OD (NPI 1376383935) is an individual optometrist in Wahpeton, North Dakota, licensed in North Dakota (819) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Illinois College Of Optometry At Chicago (2024).

NPPES Registry Identity

NPI1376383935
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBENJAMIN VERKUILENCredential: OD
Location Address332 2ND AVE NWahpeton, ND 58075-4528
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2024
Enumeration DateMay 30, 2024
Last NPPES UpdateJune 15, 2024
NPPES CertifiedJune 15, 2024
NPI 1376383935 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 ND · 819
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.
332 2ND AVE N, Wahpeton, ND 58075

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

Benjamin Verkuilen 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 ID6002350220
PECOS Enrollment IDI20240628002209
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 6

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 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.
106 services106 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.
68 services34 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).
63 services32 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
34 services34 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.
31 services27 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.
26 services13 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58075 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

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.

Specialist
332 2ND AVE N
WAHPETON, ND 58075
Registered Nurse (Diabetes Educator)
332 2ND AVE N
WAHPETON, ND 58075
Nurse Practitioner (Family)
332 2ND AVE N
WAHPETON, ND 58075
Family Medicine
332 2ND AVE N
WAHPETON, ND 58075
Family Medicine
332 2ND AVE N
WAHPETON, ND 58075
Nurse Practitioner (Family)
332 2ND AVE N
WAHPETON, ND 58075
Optometrist
332 2ND AVE N
WAHPETON, ND 58075
Optometrist
332 2ND AVE N
WAHPETON, ND 58075

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 Benjamin Verkuilen's NPI number?

The NPI number for Benjamin Verkuilen is 1376383935. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Benjamin Verkuilen located?

Benjamin Verkuilen practices at 332 2nd Ave N, Wahpeton, ND 58075. The listed phone number is (701) 642-7000.

What is Benjamin Verkuilen's specialty?

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

Is Benjamin Verkuilen enrolled in Medicare?

Yes. Benjamin Verkuilen 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 Benjamin Verkuilen accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Providence Health Plan and Sanford Health Plan list Benjamin Verkuilen 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 Benjamin Verkuilen affiliated with any hospitals?

According to CMS data, Benjamin Verkuilen is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Benjamin Verkuilen was last updated on June 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.