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DR. GARY LEE DIETTERICK OD
NPI 1407836851
Optometrist in Easton, PA

Active since January 20, 2006PECOS Enrolled
21 CORPORATE DR, STE.#2, EASTON, PA 18045(610) 258-2442(610) 258-7965 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gary Lee Dietterick Od NPPES

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

DR. GARY LEE DIETTERICK OD (NPI 1407836851) is an individual optometrist in Easton, Pennsylvania, licensed in Pennsylvania (OEG000606) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407836851
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GARY LEE DIETTERICKCredential: OD
Location Address21 CORPORATE DR, STE.#2Easton, PA 18045-2664
Mailing Address21 Corporate Dr, Ste.#2Easton, PA 18045-2664 · (610) 258-2442 · Fax (610) 258-7965
Phone(610) 258-2442
Fax(610) 258-7965
Sole ProprietorYes
Enumeration DateJanuary 20, 2006
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1407836851 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 PA · OEG000606
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.
21 CORPORATE DR, Easton, PA 18045
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Other Identifiers 8

Medicare UPINT30157PA
OtherP00227588PA · Palmetto Gba Rr Medicare
Other624066PA · Blue Shield
Medicare ID-Type Unspecified088984PA · Medicare#
Other01776201PA · Capital Bc
Other3803518PA · Aetna#
Other180026868PA · Rr Medicare
Medicare NSC0255130001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Lee Dietterick Od 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 Gary Dietterick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ja Vision Enterprises
Same address
Optometrist
21 CORPORATE DR STE 2
Easton, PA 18045
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1336743632 (610) 258-2442

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18045 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
49%53 patients2/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
94%53 patients4/55-star benchmark: 100%
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%27 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
84%631 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
70%46 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%60 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
19%527 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 99% · 185 patients
99%185 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%47 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
37%527 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%527 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 385 patients
0%385 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 10

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

KOURY COLORECTAL ASSOCIATES, P.C.
Colon & Rectal Surgery
21 CORPORATE DR, SUITE 6
EASTON, PA 18045
Northampton County (610) 250-7500
STEWARD MEDICAL GROUP INC.
Family Medicine
21 CORPORATE DR, STE. 1
EASTON, PA 18045
Northampton County (615) 467-4158
STANLEY R WALKER MDPC
Internal Medicine
21 CORPORATE DR, SUITE 1
EASTON, PA 18045
Northampton County (610) 252-0962
DR. MAHESHWER B. VERMA M.D.
Pediatrics
21 CORPORATE DR, SUITE #4
EASTON, PA 18045
Northampton County (610) 252-4220
NIRMAL GUPTA D.P.M.
Podiatrist
21 CORPORATE DR, SUITE 3
EASTON, PA 18045
Northampton County (610) 258-1855
STANLEY ROBERT WALKER M. D.
Internal Medicine
21 CORPORATE DR, SUITE 1
EASTON, PA 18045
Northampton County (610) 252-0962
CHRISTINE H BECK MD
Rehabilitation Practitioner
21 CORPORATE DR, SUITE #6
EASTON, PA 18045
Northampton County (610) 250-9666
GARY LEE DIETTERICK
Optometrist
21 CORPORATE DR
EASTON, PA 18045
Northampton County (610) 258-2442

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 Gary Dietterick's NPI number?

The NPI number for Gary Dietterick is 1407836851. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Gary Dietterick located?

Gary Dietterick practices at 21 Corporate Dr Ste.#2, Easton, PA 18045. The listed phone number is (610) 258-2442.

What is Gary Dietterick's specialty?

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

Is Gary Dietterick enrolled in Medicare?

Yes. Gary Dietterick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Dietterick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Dietterick reassigns Medicare benefits to Ja Vision Enterprises (Easton, PA). 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 Gary Dietterick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gary Dietterick was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.