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JESSICA CLAUSSEN MD
NPI 1700014412
Ophthalmology in Mitchell, SD

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
625 N FOSTER ST STE 202, MITCHELL, SD 57301(605) 995-6393(605) 995-6392 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Claussen Md NPPES

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

JESSICA CLAUSSEN MD (NPI 1700014412) is an individual ophthalmology provider in Mitchell, South Dakota, licensed in South Dakota (8818) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Huron Regional Medical Center, and is a graduate of Loma Linda University School Of Medicine (2009).

NPPES Registry Identity

NPI1700014412
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameJESSICA CLAUSSENCredential: MD
Location Address625 N FOSTER ST STE 202Mitchell, SD 57301-2903
Mailing Address625 N Foster St Ste 202Mitchell, SD 57301-2903 · (605) 995-6393 · Fax (605) 995-6392
Phone(605) 995-6393
Fax(605) 995-6392
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2009
Enumeration DateJuly 1, 2009
Last NPPES UpdateMay 9, 2019
✔ NPI 1700014412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in SD · 8818
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.
625 N FOSTER ST STE 202, Mitchell, SD 57301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Claussen 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 ID9436393030
PECOS Enrollment IDI20130923000174
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Claussen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avera Queen Of Peace
Same address
Radiation Oncology
605 N FOSTER ST
Mitchell, SD 57301
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1992466635 (South Dakota)
  • 227 clinicians in this Medicare group
NPI 1962927269 (605) 995-5756

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
102 services58 patients
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.
81 services44 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
50 services16 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.
28 services28 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.
21 services14 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431335
Location172 Fourth Street SEHuron, SD 57350 · Beadle County
Emergency services

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431340
Location525 N FosterMitchell, SD 57301 · Davison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57301 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.

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
3 suppliers26 claims26 services$47.12 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
3 suppliers25 claims50 services$45.62 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

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

AVERA QUEEN OF PEACE
Ophthalmology
625 N FOSTER ST STE 202
MITCHELL, SD 57301
Davison County (605) 995-6393

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 Jessica Claussen's NPI number?

The NPI number for Jessica Claussen is 1700014412. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Jessica Claussen located?

Jessica Claussen practices at 625 N Foster St Ste 202, Mitchell, SD 57301. The listed phone number is (605) 995-6393.

What is Jessica Claussen's specialty?

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

Is Jessica Claussen enrolled in Medicare?

Yes. Jessica Claussen 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.

Which organization bills Medicare for Jessica Claussen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Claussen reassigns Medicare benefits to Avera Queen Of Peace (Mitchell, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Claussen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Claussen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 2 other insurers list Jessica Claussen 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 Jessica Claussen affiliated with any hospitals?

According to CMS data, Jessica Claussen is affiliated with Huron Regional Medical Center and Avera Queen Of Peace.

When was this NPI record last updated?

The NPPES record for Jessica Claussen was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.