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DR. DANIEL D DIEDRICH O.D.
NPI 1154380673
Optometrist in Marion, IN

Active since March 22, 2006PECOS Enrolled
75/100
CMS Quality Rating
1400 N BALDWIN AVE, MARION, IN 46952(765) 664-6148(765) 664-9782 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Daniel D Diedrich O.d. NPPES

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

DR. DANIEL D DIEDRICH O.D. (NPI 1154380673) is an individual optometrist in Marion, Indiana, licensed in Indiana (18002338A) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154380673
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DANIEL D DIEDRICHCredential: O.D.
Location Address1400 N BALDWIN AVEMarion, IN 46952
Mailing AddressPo Box 168Marion, IN 46952-0168 · (765) 664-6148 · Fax (765) 664-9782
Phone(765) 664-6148
Fax(765) 664-9782
Sole ProprietorNo
Enumeration DateMarch 22, 2006
Last NPPES UpdateAugust 15, 2018
✔ NPI 1154380673 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 IN · 18002338A
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.
1400 N BALDWIN AVE, Marion, IN 46952
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Other Identifiers 1

Medicaid1000094740IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel D Diedrich O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Diedrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Eye Consultants, P.C.
0.1 mi
Optometrist
1400 N BALDWIN AVE
Marion, IN 46952
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Midwest Eye Consultants PC
  • 103 clinicians in this Medicare group
NPI 1225099674 (765) 664-6148

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
495 services363 patients
Analysis of substance using immunoassay technique, multiple step method 83516
This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.
330 services104 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
329 services104 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
325 services98 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.
303 services176 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
188 services178 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46952 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%94 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWEST EYE CONSULTANTS, P.C.
Optometrist
1400 N BALDWIN AVE
MARION, IN 46952
Grant County (765) 664-6148
DR. ALEXANDRIA ROSE FANNING OD
Optometrist
1400 N BALDWIN AVE
MARION, IN 46952
Grant County (765) 664-6148
ISAAC GOTTSCHALK OD
Optometrist
1400 N BALDWIN AVE
MARION, IN 46952
Grant County (765) 664-6148

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 Daniel Diedrich's NPI number?

The NPI number for Daniel Diedrich is 1154380673. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Daniel Diedrich located?

Daniel Diedrich practices at 1400 N Baldwin Ave, Marion, IN 46952. The listed phone number is (765) 664-6148.

What is Daniel Diedrich's specialty?

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

Is Daniel Diedrich enrolled in Medicare?

Yes. Daniel Diedrich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Diedrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Diedrich reassigns Medicare benefits to Midwest Eye Consultants, P.C. (Marion, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Diedrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Diedrich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Daniel Diedrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Diedrich was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.