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DR. KATHRYN OPBROEK HAIVALA OD
NPI 1477564771
Optometrist in Spearfish, SD

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1710 NORTH AVE, SPEARFISH, SD 57783(605) 642-8480(605) 642-8185 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathryn Opbroek Haivala Od NPPES

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

DR. KATHRYN OPBROEK HAIVALA OD (NPI 1477564771) is an individual optometrist in Spearfish, South Dakota, licensed in South Dakota (502) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1991).

NPPES Registry Identity

NPI1477564771
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHRYN OPBROEK HAIVALACredential: OD
Location Address1710 NORTH AVESpearfish, SD 57783
Mailing Address1710 North AveSpearfish, SD 57783 · (605) 642-8480 · Fax (605) 642-8185
Phone(605) 642-8480
Fax(605) 642-8185
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1991
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1477564771 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 SD · 502
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.
1710 NORTH AVE, Spearfish, SD 57783
Open in Google Maps ↗

Other Identifiers 5

Other119816500WY · Equality Care
Medicaid9202840SD
Medicare UPIN5406
Other4995272SD · Blue Cross
Medicare ID-Type UnspecifiedS42021

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Providence 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

Dr. Kathryn Opbroek Haivala 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 ID7719965300
PECOS Enrollment IDI20040709001273
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 12

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.
420 services412 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.
129 services102 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.
119 services110 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).
115 services103 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.
94 services85 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.
89 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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
1 supplier20 claims20 services$56.61 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
1 supplier20 claims39 services$53.95 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 4

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

SPEARFISH EYE CARE CENTER
Technician/Technologist (Optician)
1710 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 642-8430
MICHAEL S RICHEY, OD PC
Optometrist
1710 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 642-8480
KATHRYN O HAIVALA, OD PLLC
Clinic/Center (Health Service)
1710 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 642-8480
DR. MICHAEL S RICHEY OD
Optometrist
1710 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 642-8480

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 Kathryn Haivala's NPI number?

The NPI number for Kathryn Haivala is 1477564771. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Kathryn Haivala located?

Kathryn Haivala practices at 1710 North Ave, Spearfish, SD 57783. The listed phone number is (605) 642-8480.

What is Kathryn Haivala's specialty?

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

Is Kathryn Haivala enrolled in Medicare?

Yes. Kathryn Haivala 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 Kathryn Haivala accept?

Health plans from Avera Health Plans, Medica, Providence Health Plan and Sanford Health Plan list Kathryn Haivala 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 Kathryn Haivala was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.