Daniel Tiedeman, O.D.
NPI 1508986704 · Optometrist · Elk Grove, CA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Tiedeman, O.D. is a Optometrist provider in Elk Grove, CA (NPI 1508986704).
Provider details
- NPI number
- 1508986704
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 12657 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,289 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Complete Exam of Visual System92014 | 682 | $142 |
| Established Patient Problem Focused Exam of Visual System92012 | 245 | $101 |
| New Patient Complete Exam of Visual System92004 | 166 | $167 |
| Imaging of Retina92134 | 125 | $46 |
| Imaging of Optic Nerve92133 | 51 | $41 |
| Exam of the Internal Drainage System of Eye92020 | 20 | $31 |
Typical Medicare-allowed amounts for these services range $31–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 680 | 124 |
| Timolol Maleate | 208 | 58 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 145 | 38 |
| Azelastine Hcl | 87 | 28 |
| Lifitegrastbrand: Xiidra | 78 | 29 |
| Cyclosporine | 61 | 22 |
| Brimonidine Tartrate | 35 | 14 |
| Bimatoprostbrand: Lumigan |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Frequently asked questions
- What is Daniel Tiedeman's NPI number?
- Daniel Tiedeman's National Provider Identifier (NPI) is 1508986704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Tiedeman's specialty?
- Daniel Tiedeman is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Daniel Tiedeman located?
- Daniel Tiedeman's practice location on file with NPPES is 9394 Big Horn Blvd, Elk Grove, CA 95758-7977.
- What is Daniel Tiedeman's phone number?
- The practice phone number listed in the NPPES registry for Daniel Tiedeman is (916) 691-8500.
- Does Daniel Tiedeman accept Medicare?
- Daniel Tiedeman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Tiedeman's NPI active?
- Yes — Daniel Tiedeman's NPI (1508986704) is active in the NPPES registry as of the last update on 2023-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.