DR. SCOTT JACOB FUDEMBERG (M.D.) – Ophthalmology Physician, NPI 1568510675
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
51 OPHTHALMOLOGY in DE
Provider Addresses for DR. SCOTT JACOB FUDEMBERG (M.D.)
18791 JOHN J WILLIAMS HWY STE 1
REHOBOTH BEACH, DE 199719435
Phone: (302) 645-2300
Type: Location
1207 N Scott St
Wilmington, DE 198064059
Phone: (302) 652-3353
Type: Location
840 Walnut St Ste 1110
Philadelphia, PA 191075109
Phone: (215) 928-3197
Fax: (215) 928-0166
Type: Location
30 MEDICAL CENTER BLVD STE 104
CHESTER, PA 190133955
Phone: (610) 874-5261
Fax: (610) 874-0318
Type: Mailing
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 $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($19).
Total Amount
$33
General + Research + Ownership
Payments
2
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Surgical Vision, Inc. | $19 |
| Amgen Inc. | $14 |
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: 2009-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070710000012 | I | Ophthalmology | PA | TBD |
| I20090211000772 | I | Ophthalmology | DE | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 1,570 | 853 | $0 |
| 92014 | Established patient complete exam of visual system | 780 | 713 | $0 |
| 92083 | Exam of visual field with extended testing | 713 | 592 | $0 |
| 92020 | Exam of the internal drainage system of eye | 531 | 531 | $0 |
| 92133 | Imaging of optic nerve | 420 | 395 | $0 |
Insurance plans in this area (ZIP 19971)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | PA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 1611 | 844 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | DE | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | DE | |
| O P T O M E T R Y | MD | |
| O P H T H A L M O L O G Y | MD | |
| O P T O M E T R Y | DE | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | DE | |
| O P H T H A L M O L O G Y | DE |
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