DR. DYLAN PIETTE (OD) – Optometrist, NPI 1366003410
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
Provider Addresses for DR. DYLAN PIETTE (OD)
105 Grand Central Blvd Ste 110
Pooler, GA 313224148
Phone: (912) 450-9200
Type: Location
1881 SS RAILROAD BED RD APT 203
STATESBORO, GA 304618612
Phone: (312) 683-6610
Type: Mailing
214, Savannah Avenue, Kingswood, Statesboro, Bulloch County, Georgia, 30458, United States
STATESBORO, GA 304585165
Phone: (912) 764-5609
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $637.
Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alcon Vision LLC ($233).
Total Amount
$637
General + Research + Ownership
Payments
21
Total payment records
General Amount
$637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-10-09
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 |
|---|---|---|---|---|
| I20191009000570 | I | Optometry | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 56 | $0 |
| 92014 | Established patient complete exam of visual system | 75 | 75 | $0 |
| 92004 | New patient complete exam of visual system | 32 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 22 | $0 |
| 92083 | Exam of visual field with extended testing | 13 | 11 | $0 |
Insurance plans in this area (ZIP 31322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | GA |
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