PHILLIP NATHANIEL FITCH (O.D.) – Optometrist, NPI 1851619811

PHILLIP NATHANIEL FITCH (O.D.) is a healthcare provider. based in Waverly, Iowa. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 002491 (IA). The NPI Number for PHILLIP NATHANIEL FITCH (O.D.) is 1851619811

Main info

Male
16 Years Of Experience
Name
PHILLIP NATHANIEL FITCH (O.D.)
NPI
1851619811
Phone
(319) 483-5185
Address
1300 10TH AVE SW
Enumeration Date
13 May 2010
Last Update Date
24 August 2015

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
5496887028
Professional Enrollment ID
I20100719000090
Address ID
IA507014822WA999XXPLZX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

504 OPTOMETRY in IA

Provider Addresses for PHILLIP NATHANIEL FITCH (O.D.)

  • 1300 10TH AVE SW

    WAVERLY, IA 50677

    Phone: (319) 483-5185

    Type: Location

  • PO BOX 53

    WAVERLY, IA 506770053

    Phone: (641) 780-5120

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alcon Vision LLC ($215).

Total Amount

$272

General + Research + Ownership

Payments

8

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-07-19

PECOS data refreshed: 2026-06-15

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
I20100719000090IOptometryIATBD

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
92014Established patient complete exam of visual system147147$0
92134Imaging of retina9390$0
92004New patient complete exam of visual system7474$0
99213Established patient office or other outpatient visit, 20-29 minutes6435$0
92133Imaging of optic nerve3230$0
View full utilization report →

Insurance plans in this area (ZIP 50677)

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Reviews

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Frequently asked questions

Is there an official ID for PHILLIP NATHANIEL FITCH (O.D.) in U.S. healthcare records?
The official identifier for PHILLIP NATHANIEL FITCH (O.D.) is NPI 1851619811.
Would PHILLIP NATHANIEL FITCH (O.D.) appear as active to a payer?
You can treat PHILLIP NATHANIEL FITCH (O.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to PHILLIP NATHANIEL FITCH (O.D.)?
PHILLIP NATHANIEL FITCH (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PHILLIP NATHANIEL FITCH (O.D.)?
Travel planning: use Waverly, Iowa as the reference point for PHILLIP NATHANIEL FITCH (O.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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