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MACY DIELEMAN O.D.
NPI 1891148151
Optometrist in Boone, IA

Active since July 21, 2016PECOS EnrolledAccepts Medicare Assignment
718 STORY ST, BOONE, IA 50036(515) 432-2020(515) 432-8482 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2020, Oct 31, 2018 (2 updates tracked since 2018).

About Macy Dieleman O.d. NPPES

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

MACY DIELEMAN O.D. (NPI 1891148151) is an individual optometrist in Boone, Iowa, licensed in Iowa (083098) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boone, and is a graduate of Illinois College Of Optometry At Chicago (2016).

NPPES Registry Identity

NPI1891148151
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMACY DIELEMANCredential: O.D.
Location Address718 STORY STBoone, IA 50036-2834
Mailing Address1215 Duff AveAmes, IA 50010-5469 · (515) 239-4400
Phone(515) 432-2020
Fax(515) 432-8482
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2016
Enumeration DateJuly 21, 2016
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1891148151 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 IA · 083098
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.
718 STORY ST, Boone, IA 50036
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Other Names 1

Former Name (1)Macy Fickbohm O.d.

Secondary Practice Location 1

Location 1718 Story StBoone, IA 50036 · Phone (515) 432-2020 · Fax (515) 432-8482

Other Identifiers 1

Medicaid1219526IA

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

Macy Dieleman O.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 ID2668766809
PECOS Enrollment IDI20160810001535
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 4

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 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.
46 services46 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.
19 services18 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.
14 services14 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50036 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 2

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

DR. JAMES DELBERT BARKER O.D.
Optometrist
718 STORY ST
BOONE, IA 50036
Boone County (515) 432-2020
MCFARLAND CLINIC, PC
Eyewear Supplier
718 STORY ST
BOONE, IA 50036
Boone County (515) 432-2020

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 Macy Dieleman's NPI number?

The NPI number for Macy Dieleman is 1891148151. It was assigned to this individual provider in the NPPES registry on July 21, 2016. The provider is also known as Macy Fickbohm O.D..

Where is Macy Dieleman located?

Macy Dieleman practices at 718 Story St, Boone, IA 50036. The listed phone number is (515) 432-2020.

What is Macy Dieleman's specialty?

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

Is Macy Dieleman enrolled in Medicare?

Yes. Macy Dieleman 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 Macy Dieleman 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 5 other insurers list Macy Dieleman 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 Macy Dieleman was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.