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MICHAEL ERIC VANDENBOSCH MD
NPI 1407802713
Ophthalmology in Sioux Falls, SD

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
83.57/100
CMS Quality Rating
1621 S MINNESOTA AVE, SIOUX FALLS, SD 57105(605) 328-9200(605) 328-9201 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Eric Vandenbosch Md NPPES

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

MICHAEL ERIC VANDENBOSCH MD (NPI 1407802713) is an individual ophthalmology provider in Sioux Falls, South Dakota, licensed in South Dakota (5762) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1407802713
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL ERIC VANDENBOSCHCredential: MD
Location Address1621 S MINNESOTA AVESioux Falls, SD 57105-1743
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9200 · Fax (605) 328-6201
Phone(605) 328-9200
Fax(605) 328-9201
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 16, 2015
✔ NPI 1407802713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in SD · 5762✔ Licensed in IA · 27646
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
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Other Identifiers 2

Medicare UPINE73716
Medicare PINS100969SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Michael Eric Vandenbosch 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 ID4789693524
PECOS Enrollment IDI20251210001990
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.

Hospital Affiliations CMS Care Compare

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

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass 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.

83.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.07
Promoting Interoperability98
Improvement Activities40
Cost50.83

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers17 claims17 services$50.10 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.

BENITA TIMPE CNP
Nurse Practitioner
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-4700
DR. GEOFFREY T TUFTY M.D.
Ophthalmology
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-9200
DAVID JOHN ERMER MD
Psychiatry & Neurology (Psychiatry)
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-4700
RHONDA SMITH EDD
Psychologist
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-4700
JAMES H WICK EDD
Psychologist
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-4700
SANFORD CLINIC
Ophthalmology
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-9200
YUJIA ZHOU MD
Ophthalmology
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-9200
ANGELA J MERRON O.D.
Optometrist
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-9200

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 Michael Vandenbosch's NPI number?

The NPI number for Michael Vandenbosch is 1407802713. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Michael Vandenbosch located?

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

What is Michael Vandenbosch's specialty?

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

Is Michael Vandenbosch enrolled in Medicare?

Yes. Michael Vandenbosch 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 Michael Vandenbosch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Michael Vandenbosch 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 Michael Vandenbosch affiliated with any hospitals?

According to CMS data, Michael Vandenbosch is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Michael Vandenbosch was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.