DR. DIETRICH ALBERT FELLNER (M.D.) – Ophthalmology Physician, NPI 1922097179

DR. DIETRICH ALBERT FELLNER (M.D.) is a healthcare provider. based in Virginia beach, Virginia. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101232452 (VA). The NPI Number for DR. DIETRICH ALBERT FELLNER (M.D.) is 1922097179

Main info

Male
27 Years Of Experience
Name
DR. DIETRICH ALBERT FELLNER (M.D.)
NPI
1922097179
Phone
(757) 490-9091
Address
813 INDEPENDENCE BLVD
Enumeration Date
20 October 2005
Last Update Date
9 May 2013

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7574909091
Graduation Year
1999 (27 years ago)
PAC ID
8921902925
Group Practice PAC ID
3577464718
Professional Enrollment ID
I20031121000270
Address ID
VA234556004VI813XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

565 OPHTHALMOLOGY in VA

Loading map...

Provider Addresses for DR. DIETRICH ALBERT FELLNER (M.D.)

  • 813, Independence Boulevard, Haygood Shopping Center, Reedtown, Virginia Beach, Virginia, 23455, United States

    VIRGINIA BEACH, VA 234556004

    Phone: (757) 490-9091

    Fax: (757) 490-3250

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $238.

Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Alcon Vision LLC ($77).

Total Amount

$238

General + Research + Ownership

Payments

11

Total payment records

General Amount

$238

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: 2003-11-21

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
I20031121000270IOphthalmologyVATBD

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 system960897$0
92012Established patient problem focused exam of visual system727406$0
92133Imaging of optic nerve564325$0
92083Exam of visual field with extended testing354331$0
92134Imaging of retina160144$0
View full utilization report →

Insurance plans in this area (ZIP 23455)

Loading plans...

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: 3577464718View full group profile
NameSpecialtyState
O P T O M E T R YVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. DIETRICH ALBERT FELLNER (M.D.) by NPI?
Use NPI 1922097179 when you need to reference DR. DIETRICH ALBERT FELLNER (M.D.) in forms, claims, or directories.
Does this profile mean DR. DIETRICH ALBERT FELLNER (M.D.) is currently active?
Yes — DR. DIETRICH ALBERT FELLNER (M.D.) appears active in the national provider directory.
What field does DR. DIETRICH ALBERT FELLNER (M.D.) work in?
You can think of DR. DIETRICH ALBERT FELLNER (M.D.) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DIETRICH ALBERT FELLNER (M.D.)'s primary listing?
We display Virginia Beach, Virginia because that is what the record indicates for DR. DIETRICH ALBERT FELLNER (M.D.).
How can I contact DR. DIETRICH ALBERT FELLNER (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

DR. REYNALDO MOLINA FRANCISCO (MD)

Ophthalmology Physician
5265, Providence Road, Haven Heights, Virginia Beach, Virginia, 23464, United States
NPI: 1205834975

DR. ARIS PHILIP DELIANIDES (M.D.)

Ophthalmology Physician
1800, Keelingwood Lane, Lynnhaven Colony, Virginia Beach, Virginia, 23454, United States
NPI: 1902807449

DR. GEORGE PEYTON NEATROUR (M.D.)

Ophthalmology Physician
1201, First Colonial Road, Virginia Beach, Virginia, 23454, United States
NPI: 1669466181

DR. VIVEK KUMAR JAIN (M.D.)

Ophthalmology Physician
1201, First Colonial Road, Virginia Beach, Virginia, 23454, United States
NPI: 1487649687

MARCIA DENISE CARNEY (MD)

Ophthalmology Physician
4433, Corporation Lane, Pembroke Manor, Virginia Beach, Virginia, 23462, United States
NPI: 1669456166

BARRY ALAN MANDELL (MD)

Ophthalmology Physician
397, Little Neck Road, Malibu, Virginia Beach, Virginia, 23452, United States
NPI: 1972587491

DR. TERESA A SHENOUDA (M.D.)

Ophthalmology Physician
828 HEALTHY WAY STE 200
NPI: 1134104045

DR. ELIZABETH ANN TONON (MD)

Ophthalmology Physician
1805, Streatham Court, Virginia Beach, Virginia, 23454, United States
NPI: 1508845835

DR. DOUGLAS MERCER RAMPONA (MD)

Ophthalmology Physician
848, First Colonial Road, Linkhorn, Virginia Beach, Virginia, 23451, United States
NPI: 1053370007