DR. PATRICK T TIEDEKEN (M.D.) – Ophthalmology Physician, NPI 1013994805
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,145 OPHTHALMOLOGY in PA
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Provider Addresses for DR. PATRICK T TIEDEKEN (M.D.)
1254, Lititz Pike, Lancaster, Lancaster County, Pennsylvania, 17601, United States
LANCASTER, PA 176014340
Phone: (717) 397-4724
Fax: (717) 397-6687
Type: Mailing
2170 NOLL DR STE 400
LANCASTER, PA 176037609
Phone: (717) 417-8950
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $227.
Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.
Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($177).
Total Amount
$227
General + Research + Ownership
Payments
6
Total payment records
General Amount
$227
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $177 |
| ABBVIE INC. | $33 |
| Sun Pharmaceutical Industries Inc. | $17 |
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: 2008-10-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081008000809 | I | Ophthalmology | PA | 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 | 720 | 701 | $0 |
| 92012 | Established patient problem focused exam of visual system | 444 | 317 | $0 |
| 92083 | Exam of visual field with extended testing | 363 | 334 | $0 |
| 92133 | Imaging of optic nerve | 288 | 264 | $0 |
| 92250 | Photography of the retina | 106 | 105 | $0 |
Insurance plans in this area (ZIP 17601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | PA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 445 | 341 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| - | PA | |
| Pediatric Medicine | PA | |
| P A T H O L O G Y | TX | |
| Pediatric Medicine | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| N E U R O L O G Y | PA | |
| Family Practice | PA |
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