DR. GREGORY G. KAUTZ (O.D.) – Optometrist, NPI 1114934247

DR. GREGORY G. KAUTZ (O.D.) is a healthcare provider. based in Salem, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1545ATI (OR). The NPI Number for DR. GREGORY G. KAUTZ (O.D.) is 1114934247

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY G. KAUTZ (O.D.)
NPI
1114934247
Phone
(503) 364-0512
Address
660 CAPITOL ST. N.E.
Enumeration Date
2 August 2006
Last Update Date
25 June 2019

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5033640512
Graduation Year
1980 (46 years ago)
PAC ID
5991764458
Group Practice PAC ID
5597855775
Professional Enrollment ID
I20041008001036
Address ID
OR973017850SA1415XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for DR. GREGORY G. KAUTZ (O.D.)

  • 660 CAPITOL ST. N.E.

    SALEM, OR 97301

    Phone: (503) 364-0512

    Fax: (503) 588-7108

    Mailing address matches the actual address.

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 $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($57).

Total Amount

$100

General + Research + Ownership

Payments

5

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-10-08

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
I20041008001036IOptometryORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3130$0
99212Established patient office or other outpatient visit, 10-19 minutes2620$0
92083Exam of visual field with extended testing2519$0
92133Imaging of optic nerve2015$0
99213Established patient office or other outpatient visit, 20-29 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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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: 5597855775View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. GREGORY G. KAUTZ (O.D.)'s NPI?
Yes. DR. GREGORY G. KAUTZ (O.D.) is listed with NPI 1114934247 in the public NPI dataset.
Can I rely on DR. GREGORY G. KAUTZ (O.D.) being an active provider?
As of the registry snapshot, DR. GREGORY G. KAUTZ (O.D.) is marked active.
What is DR. GREGORY G. KAUTZ (O.D.)'s specialty?
The listing groups DR. GREGORY G. KAUTZ (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. GREGORY G. KAUTZ (O.D.) based?
DR. GREGORY G. KAUTZ (O.D.) is tied to Salem, Oregon in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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