DR. SCOTT JACOB FUDEMBERG M.D.
NPI 1568510675
Ophthalmology in Rehoboth Beach, DE

Q: What is Scott Fudemberg's NPI number?

The NPI number for Scott Fudemberg is 1568510675. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Scott Fudemberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Fudemberg was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment

89.38/100

CMS Quality Rating

18791 JOHN J WILLIAMS HWY STE 1, REHOBOTH BEACH, DE 19971(302) 645-2300 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Scott Jacob Fudemberg M.d. NPPES

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

DR. SCOTT JACOB FUDEMBERG M.D. (NPI 1568510675) is an individual ophthalmology provider in Rehoboth Beach, Delaware, licensed in Pennsylvania (MD431150) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Saint Louis University School Of Medicine (2003).

NPPES Registry Identity

NPI1568510675

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SCOTT JACOB FUDEMBERGCredential: M.D.

Location Address18791 JOHN J WILLIAMS HWY STE 1Rehoboth Beach, DE 19971-9435

Mailing Address18791 John J Williams Hwy Ste 1Rehoboth Beach, DE 19971-9435 · (302) 645-2300

Phone(302) 645-2300

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2003

Enumeration DateJanuary 8, 2007

Last NPPES UpdateAugust 30, 2021

NPPES CertifiedAugust 30, 2021

✔ NPI 1568510675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in PA · MD431150✔ Licensed in NJ · 25MA08470400✔ Licensed in DE · C1-0008886✔ Licensed in KS · 6253

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.

18791 JOHN J WILLIAMS HWY STE 1, Rehoboth Beach, DE 19971

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11207 N Scott StWilmington, DE 19806-4059 · Phone (302) 652-3353

Location 2840 Walnut St Ste 1110Philadelphia, PA 19107-5109 · Phone (215) 928-3197 · Fax (215) 928-0166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Dr. Scott Jacob Fudemberg M.d. 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 ID3476653270

PECOS Enrollment IDI20070710000012, I20090211000772

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 16

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 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.

1,593 services883 patients

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.

843 services773 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

796 services640 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

581 services571 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).

471 services449 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.

438 services425 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

208 services207 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.

133 services133 patients

Insertion of initial aqueous fluid drainage device into eye 0449T

This procedure involves placing a small device into your eye to help drain fluid. It's often used for glaucoma management. The device reduces pressure in the eye, helping to prevent vision loss. It's done under anesthesia for your comfort.

63 services56 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

59 services44 patients

Creation of eye fluid drainage tract for treatment of glaucoma 66170

This procedure, aimed at treating glaucoma, involves creating a small pathway in the eye to allow fluid to drain more effectively. This helps to lower eye pressure and prevent damage to the optic nerve, preserving your vision.

50 services45 patients

Creation of eye fluid drainage tracts in iris using a laser, per session 66761

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

47 services28 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

45 services32 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

37 services28 patients

Creation of shunt to improve eye fluid flow using tissue graft 66180

This procedure involves creating a new pathway for fluid to flow out of your eye using a tissue graft. It helps to lower eye pressure and prevent damage to your optic nerve, improving eye health and vision.

24 services23 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19971 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

$131.15 typical visit price

range $57.12 – $173.08

Typical copayment $32.78 (range $14.28 – $43.27)

Most-billed visit code 99204

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

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.

89.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

64.6

Other Providers at the Same Location NPPES

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

JASON J. ROSS MD

Ophthalmology

18791 JOHN J WILLIAMS HWY STE 1
REHOBOTH BEACH, DE 19971

Sussex County (302) 645-2300

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 Scott Fudemberg's NPI number?

The NPI number for Scott Fudemberg is 1568510675. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Scott Fudemberg located?

Scott Fudemberg practices at 18791 John J Williams Hwy Ste 1, Rehoboth Beach, DE 19971. The listed phone number is (302) 645-2300.

What is Scott Fudemberg's specialty?

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

Is Scott Fudemberg enrolled in Medicare?

Yes. Scott Fudemberg 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.

What insurance does Scott Fudemberg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Scott Fudemberg 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 Scott Fudemberg was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.