DR. DANIEL D DIEDRICH (O.D.) – Optometrist, NPI 1154380673

DR. DANIEL D DIEDRICH (O.D.) is a healthcare provider. based in Marion, Indiana. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 18002338A (IN). The NPI Number for DR. DANIEL D DIEDRICH (O.D.) is 1154380673

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL D DIEDRICH (O.D.)
NPI
1154380673
Phone
(765) 664-6148
Address
PO BOX 168
Enumeration Date
22 March 2006
Last Update Date
15 August 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
7656646148
Graduation Year
1988 (38 years ago)
PAC ID
0244127504
Group Practice PAC ID
2961399217
Professional Enrollment ID
I20100301000087
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DANIEL D DIEDRICH (O.D.)

  • PO BOX 168

    MARION, IN 469520168

    Phone: (765) 664-6148

    Fax: (765) 664-9782

    Type: Mailing

  • 1400, North Baldwin Avenue, Marion, Grant County, Indiana, 46952, United States

    MARION, IN 46952

    Phone: (765) 664-6148

    Fax: (765) 664-9782

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Glaukos Corporation ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Glaukos Corporation$150
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: 2010-03-01

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
I20100301000087IOptometryINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes482347$0
83516Analysis of substance using immunoassay technique, multiple step method31896$0
83861Microfluid analysis of tears31695$0
99213Established patient office or other outpatient visit, 20-29 minutes252145$0
92250Photography of the retina214206$0
View full utilization report →

Insurance plans in this area (ZIP 46952)

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Provider's Procedures

DR. DANIEL D DIEDRICH (O.D.) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIN92134Diagnostic imaging of retina1919

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: 2961399217View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN
-IN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
-IN
O P T O M E T R YIN

Reviews

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Frequently asked questions

Can I verify DR. DANIEL D DIEDRICH (O.D.) with an NPI only?
You can start verification with NPI 1154380673 for DR. DANIEL D DIEDRICH (O.D.), then check state licensing separately.
Does CMS list DR. DANIEL D DIEDRICH (O.D.) as active?
Yes — DR. DANIEL D DIEDRICH (O.D.) is active in the NPI listing used on this page.
What is DR. DANIEL D DIEDRICH (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. DANIEL D DIEDRICH (O.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. DANIEL D DIEDRICH (O.D.) serve?
DR. DANIEL D DIEDRICH (O.D.)'s listing highlights Marion, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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