DR. ERNESTO DATOC III GOLEZ (M.D.) – Ophthalmology Physician, NPI 1114212750
Ophthalmology Physician
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Profile Insights
NPPES metrics only — not quality of care.
466 OPHTHALMOLOGY in WA
Provider Addresses for DR. ERNESTO DATOC III GOLEZ (M.D.)
1920 116TH AVENUE NORTHEAST
BELLEVUE, WA 980043218
Phone: (425) 454-3937
Type: Location
1812 BAKERVIEW COURT
MOUNT VERNON, WA 982746497
Phone: (360) 630-3976
Type: Mailing
1920 116th Avenue Northeast
Bellevue, WA 980043218
Phone: (425) 454-3937
Type: Location
2100 LITTLE MOUNTAIN LN
MOUNT VERNON, WA 982748752
Phone: (360) 416-6735
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2014-09-29
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 |
|---|---|---|---|---|
| I20140929002774 | I | Ophthalmology | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 899 | 509 | $0 |
| 92014 | Established patient complete exam of visual system | 778 | 770 | $0 |
| 92133 | Imaging of optic nerve | 393 | 363 | $0 |
| 92083 | Exam of visual field with extended testing | 346 | 284 | $0 |
| 92020 | Exam of the internal drainage system of eye | 222 | 189 | $0 |
Insurance plans in this area (ZIP 98004)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | WA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 480 | 200 |
| OPHTHALMOLOGY | WA | 92083 | Measurement of field of vision during daylight conditions | 125 | 109 |
| OPHTHALMOLOGY | WA | 92134 | Diagnostic imaging of retina | 17 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA | |
| - | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | CA |
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