KATHERINE MICHELE BAUGHMAN GLEASON (OD, FAAO) – Optometrist, NPI 1720227010
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
268 OPTOMETRY in ID
Provider Addresses for KATHERINE MICHELE BAUGHMAN GLEASON (OD, FAAO)
1814 Lincoln Way
Coeur D Alene, ID 838142540
Phone: (208) 770-3814
Fax: (208) 691-6327
Type: Location
1814 LINCOLN WAY
COEUR D ALENE, ID 838142540
Phone: (208) 770-3814
Fax: (208) 691-6327
Type: Mailing
8378 N GOVERNMENT WAY
HAYDEN, ID 838359258
Phone: (208) 209-7100
Fax: (208) 209-7911
Type: Location
QuickCARE, 2500, West A Street, Moscow, Whitman County, Idaho, 83843, United States
SUITE 202
MOSCOW, ID 838436000
Phone: (208) 882-4662
Fax: (208) 883-6557
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($32).
Total Amount
$90
General + Research + Ownership
Payments
5
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-07-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090717000596 | I | Optometry | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 258 | 251 | $0 |
| 92012 | Established patient problem focused exam of visual system | 163 | 121 | $0 |
| 92004 | New patient complete exam of visual system | 157 | 157 | $0 |
| 92134 | Imaging of retina | 105 | 98 | $0 |
| 92133 | Imaging of optic nerve | 46 | 45 | $0 |
Insurance plans in this area (ZIP 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | ID | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | ID | |
| O P H T H A L M O L O G Y | ID | |
| - | ID | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | ID | |
| O P T O M E T R Y | ID | |
| O P H T H A L M O L O G Y | ID |
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