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Active NPI 1073797809 Individual Practitioner Male Practitioner

Dr. Benjamin T Dastrup , MD

Ophthalmology • South Ogden, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Dastrup, MD is a certified Ophthalmology practicing in South Ogden, UT. With approximately 21 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 2005, Dr. Dastrup delivers high-quality medical care to the local community at 1483 E RIDGELINE DR STE 100.

Dr. Dastrup is affiliated with Country Hills Eye Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1483 E Ridgeline Dr Ste 100

South Ogden, UT 844054977

Telephone 8013991149
Fax 8013990248
Associated Practice Facility / Clinic
🏢 Country Hills Eye Center Facility NPI 1447460464

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in South Ogden, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +3.7 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
3 Specialists

Practicing in South Ogden, UT (211 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dastrup (21 Years) 21 Yrs
South Ogden Specialty Average (17.3 Years) 17.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
648 434 $160.00 $124.59
99213 Established patient office or other outpatient visit, typically 15 minutes
292 194 $115.00 $88.62
92014 Established patient complete exam of visual system
266 260 $170.00 $121.17
92134 Imaging of retina
263 231 $95.00 $38.19
92133 Imaging of optic nerve
225 212 $95.00 $33.87
92025 Ct scan of cornea
223 167 $59.89 $34.30
92083 Exam of visual field with extended testing
117 107 $139.00 $59.81
92136 Measurement of corneal curvature and depth of eye
114 74 $180.00 $39.24
66984 Removal of cataract with insertion of lens
100 61 $1932.06 $516.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
69 69 $245.00 $159.44
66821 Removal of recurring cataract in lens capsule using a laser
51 37 $761.00 $321.96
92286 Imaging of front third of eye using a special microscope
44 42 $175.00 $37.16
76514 Ultrasound scan of cornea to determine thickness
38 32 $29.50 $10.60
68761 Closure of tear duct opening using plug
32 28 $560.16 $193.18
65855 Laser repair to improve eye fluid flow
31 19 $1031.00 $238.00
92250 Photography of the retina
27 27 $125.00 $35.84
92004 New patient complete exam of visual system
24 24 $198.00 $144.65
66982 Complex removal of cataract with insertion of prosthetic lens
15 11 $2425.00 $721.20
92285 Photography of content of eyes
11 11 $70.00 $22.22

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License UT 5484681

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License IN 01062307

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1073797809 (UT)
Commercial Insurance / Payer ID Ptan (Self)
000069325 (UT)

Hospital & Practice Group Affiliations

Country Hills Eye Center

875 Country Hills Dr, Ogden, UT 844032200

Phone: 8013991149

Secondary Practice Locations

875 Country Hills Dr

Ogden, UT 844032200

Phone: 8013991149

5991 S 3500 W Ste 400

Roy, UT 840676702

Phone: 8013991149

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1033789763

Doctor of Optometry

NPI 1083962245

Doctor of Optometry

NPI 1235491994

Doctor of Medicine (M.D.)

NPI 1457333064

Doctor of Medicine (M.D.)

NPI 1831171446

Doctor of Medicine (M.D.)

NPI 1831329309

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location October 09, 2025

Registered at 1483 E RIDGELINE DR STE 100, SOUTH OGDEN, UT 844054977 (Tel: 8013991149)

NPI Profile Active June 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2012

Registered at 875 COUNTRY HILLS DR, OGDEN, UT 844032200 (Tel: 8013991149)

📍
Updated Business Mailing Address June 26, 2012

Registered at 875 COUNTRY HILLS DR, OGDEN, UT 844032200 (Tel: 8013991149)

👤
Provider Name / Credentials Updated June 26, 2012

Recorded as BENJAMIN DASTRUP, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2012

Ophthalmology (License #5484681 in UT)

🟢
Initial NPI Registration & Enumeration December 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073797809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2007
Last Update: October 09, 2025
Sole Proprietor: No

Mailing Address

875 Country Hills Dr

Ogden, UT 844032200

Phone: 8013991149

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.