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JON F DIETLEIN MD PA
NPI 1285797621
Ophthalmology in Georgetown, TX

Active since December 18, 2006
311 RIVER BEND DR, GEORGETOWN, TX 78628(512) 931-2255(512) 819-9528 Get Directions Write a Review

NPPES record last updated: April 17, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jon F Dietlein Md Pa NPPES

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

JON F DIETLEIN MD PA (NPI 1285797621) is a healthcare organization registered as an ophthalmology in Georgetown, Texas and active in the NPI registry since December 2006. The organization lists Jon F Dietlein, President, as its authorized official.

NPPES Registry Identity

NPI1285797621
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameJON F DIETLEIN MD PA
Location Address311 RIVER BEND DRGeorgetown, TX 78628-2782
Mailing Address311 River Bend DrGeorgetown, TX 78628-2782 · (512) 931-2255 · Fax (512) 819-9528
Phone(512) 931-2255
Fax(512) 819-9528
Organization SubpartNo
Authorized OfficialJon F DietleinPresident · (512) 931-2255
Enumeration DateDecember 18, 2006
Last NPPES UpdateApril 17, 2009
✔ NPI 1285797621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · H0298
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X · License 04076T (TX)
311 RIVER BEND DR, Georgetown, TX 78628
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINC15258TX
Medicare ID-Type Unspecified8F1721TX · Dr. Jon Dietlein Number
Medicare ID-Type Unspecified00806ZTX · Group
Medicare UPINT04076TX
Medicare ID-Type Unspecified8F1722TX · Dr. Pamela Evan-berg #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sendero Health Plans, Local Nonprofit, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon F Dietlein Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Jon F Dietlein MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Jon Dietlein, M.D.
Ophthalmology
NPI 1811901887
311 RIVER BEND DR
Georgetown, TX 78628
(512) 931-2255
✔ PECOS✔ Accepts MedicareSame address
Pamela Evans, O.D.
Optometry
NPI 1316951056
311 RIVER BEND DR
Georgetown, TX 78628
(512) 931-2255
✔ PECOS✔ Accepts MedicareSame address
Thad Labbe, MD
Ophthalmology
NPI 1346284866
603 MALLARD LN
Taylor, TX 76574
(512) 352-7664
✔ PECOS✔ Accepts Medicare17 mi
Cynthia Wasser, OD
Optometry
NPI 1558467407
12221 N MOPAC EXPY
Austin, TX 78758
(512) 901-4014
✔ PECOS✔ Accepts Medicare17 mi

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

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 Jon F Dietlein MD PA's NPI number?

The NPI number for Jon F Dietlein MD PA is 1285797621. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Jon F Dietlein MD PA located?

Jon F Dietlein MD PA is located at 311 River Bend Dr, Georgetown, TX 78628. The listed phone number is (512) 931-2255.

What is Jon F Dietlein MD PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jon F Dietlein MD PA enrolled in Medicare?

Yes. Jon F Dietlein MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jon F Dietlein MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Jon F Dietlein MD PA, in Ophthalmology and Optometry. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jon F Dietlein MD PA accept?

Health plans from Sendero Health Plans, Local Nonprofit and WellPoint list Jon F Dietlein MD PA 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 Jon F Dietlein MD PA was last updated on April 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.