KATIE M SALOMON (OD) – Optometrist, NPI 1154739852

KATIE M SALOMON (OD) is a healthcare provider. based in Winter haven, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC4961 (FL). The NPI Number for KATIE M SALOMON (OD) is 1154739852

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KATIE M SALOMON (OD)
NPI
1154739852
Phone
(863) 401-4200
Address
570 AVENUE K SE
Enumeration Date
25 July 2014
Last Update Date
7 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8634014200
Graduation Year
2014 (12 years ago)
PAC ID
4385863794
Group Practice PAC ID
9234545393
Professional Enrollment ID
I20140917002030
Address ID
FL338804203WI570XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for KATIE M SALOMON (OD)

  • 570 AVENUE K SE

    WINTER HAVEN, FL 338804203

    Phone: (863) 401-4200

    Fax: (863) 220-9912

    Type: Location

  • 215 1ST ST N

    STE 100

    WINTER HAVEN, FL 338814537

    Phone: (863) 299-8908

    Fax: (863) 299-1061

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $842.

Total Amount is formed as General ($842) + Research ($0) + Ownership ($0) = $842.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($278).

Total Amount

$842

General + Research + Ownership

Payments

18

Total payment records

General Amount

$842

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140917002030IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system7573$0
92004New patient complete exam of visual system4646$0
99213Established patient office or other outpatient visit, 20-29 minutes2019$0
92250Photography of the retina1919$0
View full utilization report →

Insurance plans in this area (ZIP 33880)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234545393View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is the standard ID for KATIE M SALOMON (OD) in the U.S.?
In the U.S., KATIE M SALOMON (OD) is identified by NPI 1154739852.
Should I treat KATIE M SALOMON (OD) as an active provider?
Patients and plans typically see KATIE M SALOMON (OD) as active in the national extract.
What type of care does KATIE M SALOMON (OD) provide?
KATIE M SALOMON (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is KATIE M SALOMON (OD) tied to Winter Haven, Florida?
If you are local to Winter Haven, Florida, KATIE M SALOMON (OD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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