DR. ANDREA KAYE DIETZ (O.D.) – Optometrist, NPI 1649568577

DR. ANDREA KAYE DIETZ (O.D.) is a healthcare provider. based in Lima, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 6031/T2946 (OH). The NPI Number for DR. ANDREA KAYE DIETZ (O.D.) is 1649568577

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA KAYE DIETZ (O.D.)
NPI
1649568577
Phone
(419) 228-3937
Address
2765 Fort Amanda Rd
Enumeration Date
12 July 2011
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4192283937
Graduation Year
2011 (15 years ago)
PAC ID
8729257456
Group Practice PAC ID
0547703563
Professional Enrollment ID
I20110812000551
Address ID
OH458054813LI2765XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. ANDREA KAYE DIETZ (O.D.)

  • 2765 Fort Amanda Rd

    Lima, OH 458054813

    Phone: (419) 228-3937

    Fax: (419) 228-3939

    Type: Location

  • 19 BEAR DR

    NEW BREMEN, OH 458691001

    Phone: (419) 733-9109

    Type: Mailing

  • 570 E KREMER HOYING RD

    SAINT HENRY, OH 458839613

    Phone: (419) 678-8800

    Fax: (419) 678-4224

    Type: Location

  • 08736 NEW BREMEN NEW KNOXVLE RD

    NEW BREMEN, OH 458699755

    Phone: (419) 733-9109

    Type: Mailing

  • 208 N MAIN ST

    MINSTER, OH 458651121

    Phone: (419) 628-3017

    Fax: (419) 628-8208

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $551.

Total Amount is formed as General ($551) + Research ($0) + Ownership ($0) = $551.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($177).

Total Amount

$551

General + Research + Ownership

Payments

15

Total payment records

General Amount

$551

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

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: 2011-08-12

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
I20110812000551IOptometryOHTBD

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 system129128$0
99213Established patient office or other outpatient visit, 20-29 minutes5443$0
92083Exam of visual field with extended testing4741$0
92133Imaging of optic nerve3934$0
92004New patient complete exam of visual system3838$0
View full utilization report →

Insurance plans in this area (ZIP 45805)

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Provider's Procedures

DR. ANDREA KAYE DIETZ (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOH92083Measurement of field of vision during daylight conditions7265
OPTOMETRYOH92134Diagnostic imaging of retina3428

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: 0547703563View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is the standard ID for DR. ANDREA KAYE DIETZ (O.D.) in the U.S.?
In the U.S., DR. ANDREA KAYE DIETZ (O.D.) is identified by NPI 1649568577.
Quick check: is DR. ANDREA KAYE DIETZ (O.D.) active?
Public NPPES data shows DR. ANDREA KAYE DIETZ (O.D.) with an active NPI status right now.
Which specialty label fits DR. ANDREA KAYE DIETZ (O.D.)?
NPPES ties DR. ANDREA KAYE DIETZ (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. ANDREA KAYE DIETZ (O.D.) tied to Lima, Ohio?
If you are local to Lima, Ohio, DR. ANDREA KAYE DIETZ (O.D.) may be relevant to your search.
Why is information missing for DR. ANDREA KAYE DIETZ (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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