Jon Fredrick Dietlein, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

H0298 Issued in TX

Practice address

311 River Bend Dr
Georgetown, TX 78628-2782

Phone

(512) 931-2255

Fax

(512) 819-9528

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Texas Medical Branch at Galveston, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jon F Dietlein, M.D., P.a.Group PAC ID 4486676491, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jon@dietleineyecenter.ecldirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jon F Dietlein MD PA

  • Ophthalmology Physician
  • Georgetown, TX
  • NPI 1285797621
  Medicare reassignment Care Compare group NPD Authorized official
• Jon F Dietlein, M.D., P.a.

  • Durable Medical Equipment & Medical Supplies
  • Georgetown, TX
  • NPI 1295860930
  NPD Authorized official
• Eye Clinic of Austin PLLC

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1023363926
  NPD (past)
• Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1205813961
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811901887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RIVER BEND DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282782",
            "telephone_number": "512-931-2255",
            "fax_number": "512-819-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RIVER BEND DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282782",
            "telephone_number": "512-931-2255",
            "fax_number": "512-819-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETLEIN",
        "first_name": "JON",
        "middle_name": "FREDRICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H0298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Devine Jr., PHARMD.
• Jordan Lea Dewberry, RN
• Amanda Lynn Dibenedetto, FNP - C
• Gwendolyn Marie Dicapo, MA, LPC
• Kennedy Rose Dierckman, PT, DPT
• Dustin P Dinh, DDS
• Discover Chiropractic & Wellness, PLLC
• Rajat Diwan, D.D.S.,
• Bryan Allan Dluski
• Christian Gabriel Doby, MD

• Ophthalmology Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.