Active NPI 1811901887 Individual Practitioner Male Practitioner

Dr. Jon Fredrick Dietlein , MD

Ophthalmology • Georgetown, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Dietlein, MD is a certified Ophthalmology practicing in Georgetown, TX. With approximately 41 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1985, Dr. Dietlein delivers high-quality medical care to the local community at 311 RIVER BEND DR.

Dr. Dietlein is affiliated with Jon F Dietlein, M.D., P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

311 River Bend Dr

Georgetown, TX 786282782

Telephone 5129312255

Fax 5128199528

Associated Practice Facility / Clinic

🏢 Jon F Dietlein Md Pa Facility NPI 1285797621

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Georgetown, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +17.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Georgetown, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dietlein (41 Years) 41 Yrs

Georgetown Specialty Average (23.7 Years) 23.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	829	700	$150.00	$119.76
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	602	330	$25.00	$15.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	493	266	$155.00	$123.08
92136 Measurement of corneal curvature and depth of eye	394	166	$91.95	$23.77
92250 Photography of the retina	384	380	$95.00	$33.03
92083 Exam of visual field with extended testing	365	352	$105.00	$59.97
92133 Imaging of optic nerve	353	351	$95.00	$34.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	251	168	$65.00	$54.03
66984 Removal of cataract with insertion of lens	232	159	$1400.00	$487.66
99213 Established patient office or other outpatient visit, typically 15 minutes	211	183	$113.25	$87.24
92134 Imaging of retina	203	190	$95.00	$38.20
66821 Removal of recurring cataract in lens capsule using a laser	98	76	$850.00	$316.31
92012 Established patient problem focused exam of visual system	95	80	$110.00	$84.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$200.00	$160.68
66984 Removal of cataract with insertion of lens	51	34	$55.01	$45.73
92004 New patient complete exam of visual system	50	50	$180.00	$142.00
92020 Examination of cornea and iris using lens device and slit lamp	28	28	$50.00	$26.17
76514 Ultrasound scan of cornea to determine thickness	14	14	$45.00	$10.20
92025 Ct scan of cornea	14	14	$100.00	$34.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,075	864	$150.00	$123.12
92250 Photography of the retina	399	397	$95.00	$34.12
92083 Exam of visual field with extended testing	377	370	$105.00	$60.73
92133 Imaging of optic nerve	365	361	$95.00	$35.67
92012 Established patient problem focused exam of visual system	360	298	$110.00	$87.42
92136 Measurement of corneal curvature and depth of eye	341	151	$92.04	$24.00
92134 Imaging of retina	224	198	$95.00	$39.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	139	$155.00	$124.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	211	153	$65.00	$55.00
66984 Removal of cataract with insertion of lens	191	142	$1400.00	$496.09
66821 Removal of recurring cataract in lens capsule using a laser	75	64	$850.00	$322.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$200.00	$162.26
76514 Ultrasound scan of cornea to determine thickness	51	50	$45.00	$10.42
66984 Removal of cataract with insertion of lens	40	29	$54.83	$43.66
92020 Examination of cornea and iris using lens device and slit lamp	40	40	$50.00	$27.01
92004 New patient complete exam of visual system	35	35	$180.00	$146.07
66982 Complex removal of cataract with insertion of prosthetic lens	16	14	$1500.00	$673.84
92025 Ct scan of cornea	12	12	$100.00	$35.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,217	1,007	$150.00	$124.44
92012 Established patient problem focused exam of visual system	417	339	$110.00	$87.65
92083 Exam of visual field with extended testing	412	404	$105.00	$61.25
92133 Imaging of optic nerve	411	409	$95.00	$36.09
92250 Photography of the retina	409	408	$95.00	$34.11
92136 Measurement of corneal curvature and depth of eye	368	164	$91.98	$25.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	180	$155.00	$125.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	232	162	$65.00	$55.30
92134 Imaging of retina	228	204	$95.00	$39.81
66984 Removal of cataract with insertion of lens	210	154	$1400.00	$503.97
66821 Removal of recurring cataract in lens capsule using a laser	88	75	$850.00	$325.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$200.00	$163.47
66984 Removal of cataract with insertion of lens	39	27	$53.10	$44.42
92020 Examination of cornea and iris using lens device and slit lamp	35	35	$50.00	$26.92
92004 New patient complete exam of visual system	24	24	$180.00	$147.40
76514 Ultrasound scan of cornea to determine thickness	15	14	$45.00	$10.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,353	1,111	$145.12	$124.69
92012 Established patient problem focused exam of visual system	664	461	$104.11	$88.24
92083 Exam of visual field with extended testing	475	465	$105.00	$62.09
92133 Imaging of optic nerve	474	465	$95.00	$36.37
92250 Photography of the retina	472	471	$95.00	$36.22
92136 Measurement of corneal curvature and depth of eye	404	172	$92.02	$27.53
92134 Imaging of retina	279	246	$95.00	$40.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	244	171	$63.95	$54.58
66984 Removal of cataract with insertion of lens	228	165	$1400.00	$498.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$198.17	$163.99
66821 Removal of recurring cataract in lens capsule using a laser	87	68	$850.00	$327.77
76514 Ultrasound scan of cornea to determine thickness	78	78	$45.00	$10.73
92020 Examination of cornea and iris using lens device and slit lamp	64	62	$50.00	$27.55
66984 Removal of cataract with insertion of lens	63	43	$47.25	$39.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	47	$155.00	$127.06
92004 New patient complete exam of visual system	20	20	$174.00	$148.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,264	1,103	$135.00	$124.01
92012 Established patient problem focused exam of visual system	552	394	$93.00	$86.86
92250 Photography of the retina	451	451	$95.00	$41.56
92083 Exam of visual field with extended testing	431	420	$105.00	$61.73
92133 Imaging of optic nerve	360	357	$95.00	$36.49
92136 Measurement of corneal curvature and depth of eye	287	130	$92.13	$30.58
92134 Imaging of retina	237	223	$95.00	$40.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	129	$48.00	$44.20
66984 Removal of cataract with insertion of lens	148	117	$1400.00	$520.18
66821 Removal of recurring cataract in lens capsule using a laser	78	69	$850.00	$326.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$193.00	$161.48
92020 Examination of cornea and iris using lens device and slit lamp	41	41	$50.00	$27.39
66984 Removal of cataract with insertion of lens	20	17	$45.35	$36.00
92025 Ct scan of cornea	18	18	$100.00	$35.68
76514 Ultrasound scan of cornea to determine thickness	12	12	$45.00	$11.07
92004 New patient complete exam of visual system	11	11	$165.00	$148.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,545	1,280	$135.00	$122.36
92136 Measurement of corneal curvature and depth of eye	647	276	$92.01	$33.12
92012 Established patient problem focused exam of visual system	603	415	$93.00	$85.12
92250 Photography of the retina	506	505	$95.00	$46.03
92083 Exam of visual field with extended testing	477	465	$105.00	$61.41
92133 Imaging of optic nerve	400	395	$95.00	$35.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	396	279	$48.00	$43.34
66984 Removal of cataract with insertion of lens	369	265	$1400.00	$590.14
92134 Imaging of retina	242	223	$95.00	$39.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$193.00	$159.30
66821 Removal of recurring cataract in lens capsule using a laser	124	102	$850.00	$319.35
66984 Removal of cataract with insertion of lens	81	58	$43.70	$39.49
92020 Examination of cornea and iris using lens device and slit lamp	37	37	$50.00	$26.87
76514 Ultrasound scan of cornea to determine thickness	24	24	$45.00	$11.57
92025 Ct scan of cornea	16	16	$100.00	$35.84
66982 Complex removal of cataract with insertion of prosthetic lens	13	11	$1500.00	$739.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,560	1,288	$135.00	$123.43
92136 Measurement of corneal curvature and depth of eye	687	300	$91.97	$36.86
92012 Established patient problem focused exam of visual system	633	458	$93.00	$85.50
92250 Photography of the retina	521	521	$95.00	$52.53
92083 Exam of visual field with extended testing	519	491	$105.00	$62.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	424	298	$48.00	$42.91
92133 Imaging of optic nerve	423	419	$95.00	$36.75
66984 Removal of cataract with insertion of lens	400	282	$1400.00	$609.40
92134 Imaging of retina	295	270	$95.00	$40.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$193.00	$161.64
66821 Removal of recurring cataract in lens capsule using a laser	108	86	$850.00	$325.23
76514 Ultrasound scan of cornea to determine thickness	45	45	$45.00	$14.15
66984 Removal of cataract with insertion of lens	44	32	$46.14	$40.77
92020 Examination of cornea and iris using lens device and slit lamp	32	32	$50.00	$26.48
92004 New patient complete exam of visual system	26	26	$165.00	$148.15
92025 Ct scan of cornea	22	22	$100.00	$36.65
66982 Complex removal of cataract with insertion of prosthetic lens	15	13	$1500.00	$747.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,721	1,411	$135.00	$117.61
92012 Established patient problem focused exam of visual system	759	518	$93.00	$81.21
92136 Measurement of corneal curvature and depth of eye	708	315	$92.06	$39.88
92250 Photography of the retina	557	552	$95.00	$61.56
92083 Exam of visual field with extended testing	531	524	$105.00	$57.83
92133 Imaging of optic nerve	460	449	$95.00	$35.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	418	311	$48.00	$41.30
66984 Removal of cataract with insertion of lens	408	302	$1400.00	$587.06
92134 Imaging of retina	306	274	$95.00	$38.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$193.00	$156.87
66821 Removal of recurring cataract in lens capsule using a laser	104	87	$850.00	$309.80
92020 Examination of cornea and iris using lens device and slit lamp	76	75	$50.00	$25.56
66984 Removal of cataract with insertion of lens	49	33	$50.29	$46.68
76514 Ultrasound scan of cornea to determine thickness	29	29	$45.00	$13.62
92025 Ct scan of cornea	27	26	$92.22	$35.19
92004 New patient complete exam of visual system	15	15	$165.00	$142.35
92225 Examination of eye by ophthalmoscope with retinal drawing	12	12	$70.00	$25.84

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX H0298

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.

Hospital & Practice Group Affiliations

Jon F Dietlein, M.d., P.a.

311 River Bend Dr, Georgetown, TX 786282782

Phone: 5129312255

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Pamela Evans , OD

Optometrist

NPI 1316951056

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 311 RIVER BEND DR, GEORGETOWN, TX 786282782 (Tel: 5129312255)

📍

Updated Business Mailing Address July 08, 2007

Registered at 311 RIVER BEND DR, GEORGETOWN, TX 786282782 (Tel: 5129312255)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JON DIETLEIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #H0298 in TX)

🟢

Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811901887

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 28, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

311 River Bend Dr

Georgetown, TX 786282782

Phone: 5129312255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.