JON FREDRICK DIETLEIN (M.D.) – Ophthalmology Physician, NPI 1811901887
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,544 OPHTHALMOLOGY in TX
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Provider Addresses for JON FREDRICK DIETLEIN (M.D.)
Dietlein & Labbe Eye Associates, 311, River Bend Drive, Georgetown, Williamson County, Texas, 78628, United States
GEORGETOWN, TX 786282782
Phone: (512) 931-2255
Fax: (512) 819-9528
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 53 Open Payments records for all available years, with a total value of $1,027.
Total Amount is formed as General ($1,027) + Research ($0) + Ownership ($0) = $1,027.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: ABBVIE INC. ($544).
Total Amount
$1,027
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,027
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $544 |
| Bausch & Lomb Americas Inc. | $194 |
| Alcon Vision LLC | $151 |
| Ocular Therapeutix, Inc. | $94 |
| Novartis Pharmaceuticals Corporation | $22 |
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: 2005-07-20
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 |
|---|---|---|---|---|
| I20050720001045 | I | Ophthalmology | TX | 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 | 1,075 | 864 | $0 |
| 92250 | Photography of the retina | 399 | 397 | $0 |
| 92083 | Exam of visual field with extended testing | 377 | 370 | $0 |
| 92133 | Imaging of optic nerve | 365 | 361 | $0 |
| 92012 | Established patient problem focused exam of visual system | 360 | 298 | $0 |
Insurance plans in this area (ZIP 78628)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | TX | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 847 | 564 |
| OPHTHALMOLOGY | TX | 92083 | Measurement of field of vision during daylight conditions | 613 | 603 |
| OPHTHALMOLOGY | TX | 92134 | Diagnostic imaging of retina | 268 | 255 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TX | |
| O P T O M E T R Y | TX |
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