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MICHAEL J DEIBOLDT OD
NPI 1083705826
Optometrist in Winchester, VA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
420 W JUBAL EARLY DR STE 200, WINCHESTER, VA 22601(540) 662-2700(540) 662-8801 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Deiboldt Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J DEIBOLDT OD (NPI 1083705826) is an individual optometrist in Winchester, Virginia, licensed in Virginia (0681800575) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1999).

NPPES Registry Identity

NPI1083705826
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL J DEIBOLDTCredential: OD
Location Address420 W JUBAL EARLY DR STE 200Winchester, VA 22601-6435
Mailing Address420 W Jubal Early Dr Ste 200Winchester, VA 22601-6435 · (540) 662-2700 · Fax (540) 662-8801
Phone(540) 662-2700
Fax(540) 662-8801
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1999
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1083705826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0681800575
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
420 W JUBAL EARLY DR STE 200, Winchester, VA 22601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael J Deiboldt Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991755894
PECOS Enrollment IDI20050128000090
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
275 services272 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
112 services84 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
107 services107 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
90 services74 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
58 services58 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
58 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Deiboldt's NPI number?

The NPI number for Michael Deiboldt is 1083705826. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Michael Deiboldt located?

Michael Deiboldt practices at 420 W Jubal Early Dr Ste 200, Winchester, VA 22601. The listed phone number is (540) 662-2700.

What is Michael Deiboldt's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Deiboldt enrolled in Medicare?

Yes. Michael Deiboldt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Deiboldt was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.