DR. JEREMY JAMES BRODERSEN O.D.
NPI 1477664902
Optometrist in Sioux City, IA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
3539 SOUTHERN HILLS DR, SIOUX CITY, IA 51106(712) 276-2323(712) 274-9986 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jeremy James Brodersen O.d. NPPES

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

DR. JEREMY JAMES BRODERSEN O.D. (NPI 1477664902) is an individual optometrist in Sioux City, Iowa, licensed in Iowa (2181) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2000).

NPPES Registry Identity

NPI1477664902
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEREMY JAMES BRODERSENCredential: O.D.
Location Address3539 SOUTHERN HILLS DRSioux City, IA 51106-4750
Mailing Address3400 Walden AveSioux City, IA 51106-4618 · (712) 276-2415
Fax(712) 274-9986
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2000
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477664902 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 IA · 2181
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.

3539 SOUTHERN HILLS DR, Sioux City, IA 51106

Other Identifiers 3

Medicare UPINU96222IA
Medicaid1289819IA
Medicare ID-Type UnspecifiedI10264

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

Dr. Jeremy James Brodersen O.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 ID8527002005
PECOS Enrollment IDI20050615000596
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 2024 & 2026 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.
281 services280 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.
148 services148 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.
67 services35 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
53 services44 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).
18 services16 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51106 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 3

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

Technician/Technologist (Optician)
3539 SOUTHERN HILLS DR
SIOUX CITY, IA 51106
Chiropractor
3539 SOUTHERN HILLS DR
SIOUX CITY, IA 51106
Chiropractor
3539 SOUTHERN HILLS DR
SIOUX CITY, IA 51106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477664902, enumerated as an "individual" on August 31, 2006.

The provider is located at 3539 SOUTHERN HILLS DR SIOUX CITY, IA 51106 and the phone number is (712) 276-2323.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.