DR. DAVID PHILLIP SONNENBURG O.D.
NPI 1760797120
Optometrist in Mishawaka, IN

Active since August 10, 2010PECOS EnrolledAccepts Medicare Assignment
89.85/100
CMS Quality Rating
230 E DAY RD STE 100, MISHAWAKA, IN 46545(574) 271-3939(574) 271-3941 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 17, 2017 and 3 more (6 updates tracked since 2016).

About Dr. David Phillip Sonnenburg O.d. NPPES

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

DR. DAVID PHILLIP SONNENBURG O.D. (NPI 1760797120) is an individual optometrist in Mishawaka, Indiana, licensed in Indiana (18003642) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Indiana University - School Of Optometry (2010).

NPPES Registry Identity

NPI1760797120
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAVID PHILLIP SONNENBURGCredential: O.D.
Location Address230 E DAY RD STE 100Mishawaka, IN 46545-3408
Mailing Address230 E Day Rd, Ste 100Mishawaka, IN 46545-3408 · (574) 271-3939 · Fax (574) 271-3941
Fax(574) 271-3941
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2010
Enumeration DateAugust 10, 2010
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPI 1760797120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in IN · 18003642 Licensed in IL · 046010413
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.
230 E DAY RD STE 100, Mishawaka, IN 46545

Secondary Practice Locations 4

Location 1320 Meadow LnPlymouth, IN 46563-9394 · Phone (574) 935-4480 · Fax (574) 941-2040
Location 22216 Cassopolis StElkhart, IN 46514-5133 · Phone (574) 266-2111 · Fax (574) 266-0555
Location 3319 N Niles Ave Ste 100South Bend, IN 46617-2328 · Phone (574) 282-2020 · Fax (574) 288-2020
Location 41747 Stafford CtGoshen, IN 46526-6542 · Phone (574) 533-0100 · Fax (574) 534-8088

Other Identifiers 3

Medicaid201113290IN
OtherP01171205IN · Medicare Railroad
Other2044600006IN · Ptan

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. David Phillip Sonnenburg 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 ID9537358312
PECOS Enrollment IDI20121025000009
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 8

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.
163 services163 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.
145 services107 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.
54 services53 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.
49 services49 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).
34 services34 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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

89.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost66.18

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
1 supplier13 claims13 services$51.32 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 7

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

Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Ophthalmology
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545

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 David Sonnenburg's NPI number?

The NPI number for David Sonnenburg is 1760797120. It was assigned to this individual provider in the NPPES registry on August 10, 2010.

Where is David Sonnenburg located?

David Sonnenburg practices at 230 E Day Rd Ste 100, Mishawaka, IN 46545. The listed phone number is (574) 271-3939.

What is David Sonnenburg's specialty?

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

Is David Sonnenburg enrolled in Medicare?

Yes. David Sonnenburg 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 David Sonnenburg accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list David Sonnenburg 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 David Sonnenburg was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.