MACY DIELEMAN (O.D.) – Optometrist, NPI 1891148151
Optometrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
Provider Addresses for MACY DIELEMAN (O.D.)
718 Story St
Boone, IA 50036
Phone: (515) 432-2020
Fax: (515) 432-8482
Type: Location
East University Avenue, Pleasant Hill, Polk County, Iowa, United States
PLEASANT HILL, IA 50327
Phone: (515) 265-5322
Type: Mailing
1215 DUFF AVE
AMES, IA 500105469
Phone: (515) 239-4400
Type: Mailing
718 STORY ST
BOONE, IA 500362834
Phone: (515) 432-2020
Fax: (515) 432-8482
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $558.
Total Amount is formed as General ($558) + Research ($0) + Ownership ($0) = $558.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: CooperVision Inc. ($290).
Total Amount
$558
General + Research + Ownership
Payments
18
Total payment records
General Amount
$558
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $290 |
| Alcon Vision LLC | $268 |
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: 2016-08-10
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 |
|---|---|---|---|---|
| I20160810001535 | I | Optometry | IA | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 47 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 23 | $0 |
| 92250 | Photography of the retina | 19 | 18 | $0 |
| 92004 | New patient complete exam of visual system | 18 | 18 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 14 | 11 | $0 |
Insurance plans in this area (ZIP 50036)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA |
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