JOHN PALMER BERDAHL M.D.
NPI 1871761577
Ophthalmology in Sioux Falls, SD

Active since February 15, 2008PECOS EnrolledAccepts Medicare Assignment
76.29/100
CMS Quality Rating
3101 W 57TH ST, SIOUX FALLS, SD 57108(605) 361-3937(605) 371-7199 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Palmer Berdahl M.d. NPPES

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

JOHN PALMER BERDAHL M.D. (NPI 1871761577) is an individual ophthalmology provider in Sioux Falls, South Dakota, licensed in South Dakota (7529) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (2004).

NPPES Registry Identity

NPI1871761577
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN PALMER BERDAHLCredential: M.D.
Location Address3101 W 57TH STSioux Falls, SD 57108-3162
Mailing Address3101 W 57th StSioux Falls, SD 57108-3162 · (605) 371-7100 · Fax (605) 371-7199
Fax(605) 371-7199
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2004
Enumeration DateFebruary 15, 2008
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1871761577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in SD · 7529
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.
3101 W 57TH ST, Sioux Falls, SD 57108

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

John Palmer Berdahl M.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 ID5092886127
PECOS Enrollment IDI20090819000133
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 15

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.

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.
938 services503 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.
742 services412 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
245 services243 patients
Injection, bimatoprost, intracameral implant, 1 microgram J7351
This procedure involves placing a tiny implant inside the eye, which releases a drug called bimatoprost. This drug helps to lower high pressure in the eye, typically seen in conditions like glaucoma. It's a safe and effective treatment.
220 services16 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
159 services95 patients
Transplantation of outer layer of corneal tissue 65756
The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.
61 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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.

76.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.06
Promoting Interoperability100
Improvement Activities40
Cost23.9

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%2,742 patients
Diabetes: Eye Exam
100%42 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
84%574 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
95%21 patients
Provide Patients Electronic Access to Their Health Information
88%620 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 594 patients
Patients totalRate: 0% · 594 patients
0%594 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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
9 suppliers33 claims33 services$50.06 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers15 claims27 services$41.71 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
6 suppliers17 claims28 services$46.80 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.

Optometrist
3101 W 57TH ST
SIOUX FALLS, SD 57108
Optometrist
3101 W 57TH ST
SIOUX FALLS, SD 57108
Ophthalmology
3101 W 57TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner
3101 W 57TH ST
SIOUX FALLS, SD 57108
Ophthalmology
3101 W 57TH ST
SIOUX FALLS, SD 57108
Optometrist
3101 W 57TH ST
SIOUX FALLS, SD 57108
Optometrist
3101 W 57TH ST
SIOUX FALLS, SD 57108
Optometrist
3101 W 57TH ST
SIOUX FALLS, SD 57108

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 John Berdahl's NPI number?

The NPI number for John Berdahl is 1871761577. It was assigned to this individual provider in the NPPES registry on February 15, 2008.

Where is John Berdahl located?

John Berdahl practices at 3101 W 57th St, Sioux Falls, SD 57108. The listed phone number is (605) 361-3937.

What is John Berdahl's specialty?

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

Is John Berdahl enrolled in Medicare?

Yes. John Berdahl 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 John Berdahl accept?

Health plans from Avera Health Plans, Medica, Mountain Health CO-OP and Sanford Health Plan list John Berdahl 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 John Berdahl was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.