Doctor profile · Federal record
Dr. Daniel Tiedeman, O.D.
Optometrist (CMS: Optometry) · Elk Grove, CA
- NPI 1508986704
- Accepts Medicare
- MIPS 90.2 / 100 · 2023
- 22 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9394 Big Horn Blvd
Elk Grove, CA 957587977
(916) 691-8500
fax (916) 691-8589 - Mailing address
-
3400 Data Dr
Rancho Cordova, CA 956707956
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- December 8, 2023
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- California #12657
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508986704. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,322
Distinct HCPCS
6
Medicare allowed
$158,965
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 723 | 677 | $137 | |
92004 |
New patient complete exam of visual system | 204 | 204 | $161 | |
92012 |
Established patient problem focused exam of visual system | 192 | 120 | $98 | |
92134 |
Imaging of retina | 120 | 105 | $43 | |
92133 |
Imaging of optic nerve | 62 | 59 | $40 | |
92020 |
Exam of the internal drainage system of eye | 21 | 21 | $30 |
In context: peer comparison
Among 4 peers in Elk Grove Optometrist, average services per provider: 134. This provider delivers 9.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,180
Patients
289
Total drug cost
$162,492
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 551 | 106 | $9,666 |
| Timolol Maleate | Generic | 174 | 57 | $1,665 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 91 | 33 | $2,421 |
| Xiidra (Lifitegrast) | Brand | 72 | 30 | $61,171 |
| Azelastine Hcl | Generic | 64 | 20 | $3,649 |
| Restasis (Cyclosporine) | Brand | 59 | 18 | $48,162 |
| Brimonidine Tartrate | Generic | 35 | 12 | $608 |
| Lumigan (Bimatoprost) | Brand | 34 | 0 | $15,702 |
| Cyclosporine | Generic | 22 | 0 | $10,645 |
| Dorzolamide Hcl | Generic | 21 | 0 | $861 |
Frequently asked questions
What is Dr. Daniel Tiedeman's medical specialty?
Dr. Daniel Tiedeman practices Optometrist in Elk Grove, CA.
Where does Dr. Daniel Tiedeman practice?
Dr. Daniel Tiedeman practices at 9394 Big Horn Blvd, Elk Grove, CA 957587977. Office phone: 9166918500.
What is Dr. Daniel Tiedeman's NPI?
Dr. Daniel Tiedeman's National Provider Identifier (NPI) is 1508986704, issued by NPPES.
Does Dr. Daniel Tiedeman accept Medicare assignment?
Yes. Dr. Daniel Tiedeman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Daniel Tiedeman commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); New patient complete exam of visual system (HCPCS 92004); Established patient problem focused exam of visual system (HCPCS 92012). Source: CMS Medicare Physician & Other Practitioners file.