BENJAMIN T DASTRUP (MD) – Ophthalmology Physician, NPI 1073797809
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 OPHTHALMOLOGY in UT
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Provider Addresses for BENJAMIN T DASTRUP (MD)
Country Hills Drive, Ogden, Weber County, Utah, 84403, United States
OGDEN, UT 844032200
Phone: (801) 399-1149
Fax: (801) 394-4481
Type: Location
5991 S 3500 W Ste 400
Roy, UT 840676702
Phone: (801) 399-1149
Fax: (801) 399-0248
Type: Location
875 Country Hills Dr
Ogden, UT 844032200
Phone: (801) 399-1149
Fax: (801) 394-4481
Type: Location
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 844054977
Phone: (801) 399-1149
Fax: (801) 399-0248
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $476.
Total Amount is formed as General ($476) + Research ($0) + Ownership ($0) = $476.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($78).
Total Amount
$476
General + Research + Ownership
Payments
18
Total payment records
General Amount
$476
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $78 |
| Apellis Pharmaceuticals, Inc. | $68 |
| NEW WORLD MEDICAL,INC. | $59 |
| RxSight Inc | $56 |
| ABBVIE INC. | $56 |
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: 2010-07-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100705000013 | I | Ophthalmology | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 844 | 532 | $0 |
| 92134 | Imaging of retina | 312 | 270 | $0 |
| 92025 | Ct scan of cornea | 229 | 150 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 203 | 146 | $0 |
| 92133 | Imaging of optic nerve | 197 | 178 | $0 |
Insurance plans in this area (ZIP 84403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | UT | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 617 | 255 |
| OPHTHALMOLOGY | UT | 92083 | Measurement of field of vision during daylight conditions | 91 | 76 |
| OPHTHALMOLOGY | UT | 92134 | Diagnostic imaging of retina | 150 | 136 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | UT | |
| O P T O M E T R Y | AE | |
| O P H T H A L M O L O G Y | UT | |
| O P H T H A L M O L O G Y | UT | |
| O P H T H A L M O L O G Y | UT | |
| - | UT |
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