Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAVEN GWENDOLYN DIACOU MD, PHD
NPI 1568044113
Ophthalmology in Easton, PA

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment
2200 ST LUKES BLVD STE 104, EASTON, PA 18045(484) 526-6643 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Apr 14, 2026, Jul 20, 2024 and 1 more (4 updates tracked since 2021).

About Raven Gwendolyn Diacou Md, Phd NPPES

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

RAVEN GWENDOLYN DIACOU MD, PHD (NPI 1568044113) is an individual ophthalmology provider in Easton, Pennsylvania, licensed in Pennsylvania (MD490075) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568044113
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameRAVEN GWENDOLYN DIACOUCredential: MD, PHD
Location Address2200 ST LUKES BLVD STE 104Easton, PA 18045-5665
Mailing Address2200 St Lukes Blvd Ste 104Easton, PA 18045-5665
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 23, 2021
Last NPPES UpdateSeptember 1, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
NPI 1568044113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD490075
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.
2200 ST LUKES BLVD STE 104, Easton, PA 18045

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

Raven Gwendolyn Diacou Md, Phd 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 ID648676718
PECOS Enrollment IDI20250711001970
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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.

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.

Optometrist
2200 ST LUKES BLVD STE 104
EASTON, PA 18045
Ophthalmology
2200 ST LUKES BLVD STE 104
EASTON, PA 18045
Optometrist
2200 ST LUKES BLVD STE 104
EASTON, PA 18045

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 Raven Diacou's NPI number?

The NPI number for Raven Diacou is 1568044113. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Raven Diacou located?

Raven Diacou practices at 2200 St Lukes Blvd Ste 104, Easton, PA 18045. The listed phone number is (484) 526-6643.

What is Raven Diacou's specialty?

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

Is Raven Diacou enrolled in Medicare?

Yes. Raven Diacou 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.

Is Raven Diacou affiliated with any hospitals?

According to CMS data, Raven Diacou is affiliated with Upmc Mercy and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Raven Diacou was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.