DR. NIKOLAUS W FATH (O,D.) – Optometrist, NPI 1568740678

DR. NIKOLAUS W FATH (O,D.) is a healthcare provider. based in Cuyahoga falls, Ohio. specializing in OPTOMETRY. They hold the professional credentials O,D.. They hold a License No. 6036 (OH). The NPI Number for DR. NIKOLAUS W FATH (O,D.) is 1568740678

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. NIKOLAUS W FATH (O,D.)
NPI
1568740678
Phone
(330) 929-9941
Address
646 PORTAGE TRL
Enumeration Date
25 July 2011
Last Update Date
8 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3309299941
Graduation Year
2010 (16 years ago)
PAC ID
8628213311
Group Practice PAC ID
0749214138
Professional Enrollment ID
I20130329000169
Address ID
OH442213000CU646XXTRLX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. NIKOLAUS W FATH (O,D.)

  • 646 PORTAGE TRL

    CUYAHOGA FALLS, OH 442213034

    Phone: (330) 929-9941

    Fax: (330) 929-3926

    Mailing address matches the actual address.

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 $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($50).

Total Amount

$160

General + Research + Ownership

Payments

8

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

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: 2013-03-29

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
I20130329000169IOptometryOHTBD

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
66984Removal of cataract with insertion of prosthetic lens2,65220$0
99214Established patient office or other outpatient visit, 30-39 minutes114114$0
92250Photography of the retina7070$0
92133Imaging of optic nerve4443$0
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 44221)

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Provider's Procedures

DR. NIKOLAUS W FATH (O,D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOH92012Eye and medical examination for diagnosis and treatment, established patient1611

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: 0749214138View full group profile
NameSpecialtyState
O P T O M E T R YOH

Reviews

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Frequently asked questions

Can I cross-check DR. NIKOLAUS W FATH (O,D.) using NPI 1568740678?
NPI 1568740678 belongs to DR. NIKOLAUS W FATH (O,D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. NIKOLAUS W FATH (O,D.)?
You should see DR. NIKOLAUS W FATH (O,D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. NIKOLAUS W FATH (O,D.)?
DR. NIKOLAUS W FATH (O,D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Ohio is DR. NIKOLAUS W FATH (O,D.) registered?
Use Cuyahoga Falls, Ohio as the headline location for DR. NIKOLAUS W FATH (O,D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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