DR. JOHN S BERESTKA (MD) – Ophthalmology Physician, NPI 1114905072

DR. JOHN S BERESTKA (MD) is a healthcare provider. based in Maple grove, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 38104 (MN). The NPI Number for DR. JOHN S BERESTKA (MD) is 1114905072

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN S BERESTKA (MD)
NPI
1114905072
Phone
(763) 416-7600
Address
12000 Elm Creek Blvd N Ste 100
Enumeration Date
2 January 2006
Last Update Date
17 March 2020

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7634167600
Graduation Year
1990 (36 years ago)
PAC ID
2961395850
Group Practice PAC ID
2163315045
Professional Enrollment ID
I20100701000746
Address ID
MN553911207WA250XXNXXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

Provider Addresses for DR. JOHN S BERESTKA (MD)

  • 12000 Elm Creek Blvd N Ste 100

    Maple Grove, MN 553697074

    Phone: (763) 416-7600

    Fax: (763) 416-7634

    Type: Location

  • 8501 Golden Valley Rd Ste 100

    Golden Valley, MN 554274472

    Phone: (763) 416-7600

    Fax: (763) 416-7634

    Type: Location

  • Golden Valley Road, Golden Valley, Meander Valley, Tasmania, Australia

    GOLDEN VALLEY, MN 554274488

    Phone: (763) 416-7629

    Fax: (763) 383-4147

    Type: Mailing

  • Central Avenue North, Wayzata, Hennepin County, Minnesota, 55391, United States

    WAYZATA, MN 553911207

    Phone: (763) 416-7600

    Fax: (763) 416-7634

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Glaukos Corporation ($130).

Total Amount

$156

General + Research + Ownership

Payments

2

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Glaukos Corporation$130
RxSight Inc$26
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100701000746IOphthalmologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92136Measurement of corneal curvature and depth of eye256195$0
99214Established patient office or other outpatient visit, 30-39 minutes238231$0
99213Established patient office or other outpatient visit, 20-29 minutes196178$0
66984Removal of cataract with insertion of prosthetic lens15392$0
92083Exam of visual field with extended testing9291$0
View full utilization report →

Insurance plans in this area (ZIP 55369)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163315045View full group profile
NameSpecialtyState
-MN
-MN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
-MN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Does DR. JOHN S BERESTKA (MD) have a public NPI I can cite?
Public records show DR. JOHN S BERESTKA (MD) under NPI 1114905072.
Is DR. JOHN S BERESTKA (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOHN S BERESTKA (MD) as active.
How should patients interpret DR. JOHN S BERESTKA (MD)'s specialty?
The extract shows Ophthalmology Physician for DR. JOHN S BERESTKA (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN S BERESTKA (MD)?
DR. JOHN S BERESTKA (MD) is associated with Maple Grove, Minnesota in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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