DR. RIVER FICKE (OD) – Optometrist, NPI 1558140715

DR. RIVER FICKE (OD) is a healthcare provider. based in Austin, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 10874 (TX). The NPI Number for DR. RIVER FICKE (OD) is 1558140715

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. RIVER FICKE (OD)
NPI
1558140715
Phone
(512) 250-2020
Address
11901 Jollyville Rd
Enumeration Date
27 September 2023
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
5122502020
Graduation Year
2023 (3 years ago)
PAC ID
0941731764
Group Practice PAC ID
6608910542
Professional Enrollment ID
I20241003004234
Address ID
TX787465642AU2700XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. RIVER FICKE (OD)

  • 11901 Jollyville Rd

    Austin, TX 787592303

    Phone: (512) 250-2020

    Fax: (512) 250-2612

    Type: Location

  • 1206 CASTLE HILL ST APT 1

    AUSTIN, TX 787034156

    Phone: (573) 823-1806

    Type: Mailing

  • 2700 BEE CAVES RD

    AUSTIN, TX 787465642

    Phone: (512) 250-2020

    Fax: (512) 250-2612

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2024-10-03

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
I20241003004234IOptometryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78759)

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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: 6608910542View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YTX
O P T O M E T R YCA

Reviews

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Frequently asked questions

What is the registry number for DR. RIVER FICKE (OD)?
The registry entry for DR. RIVER FICKE (OD) shows NPI 1558140715.
Should I treat DR. RIVER FICKE (OD) as an active provider?
Patients and plans typically see DR. RIVER FICKE (OD) as active in the national extract.
What does the directory say DR. RIVER FICKE (OD) does?
Insurance directories may phrase it differently, but here DR. RIVER FICKE (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. RIVER FICKE (OD)?
DR. RIVER FICKE (OD) is associated with Austin, Texas in the same public data insurers reference.
Who maintains DR. RIVER FICKE (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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