KATIE MARIE GOLDSTEIN (O.D.) – Optometrist, NPI 1407086739

KATIE MARIE GOLDSTEIN (O.D.) is a healthcare provider. based in Medford, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 7411T (TX). The NPI Number for KATIE MARIE GOLDSTEIN (O.D.) is 1407086739

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KATIE MARIE GOLDSTEIN (O.D.)
NPI
1407086739
Phone
(541) 779-2020
Address
1408 E Barnett Rd
Enumeration Date
21 July 2009
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
5419282020
Graduation Year
2009 (17 years ago)
PAC ID
2567515737
Group Practice PAC ID
0648265470
Professional Enrollment ID
I20150909002740
Address ID
OR973213149AL904XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:16State licenses:3Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for KATIE MARIE GOLDSTEIN (O.D.)

  • 1408 E Barnett Rd

    Medford, OR 975048279

    Phone: (541) 779-2020

    Type: Location

  • 6900 PLEASANT CREEK RD

    ROGUE RIVER, OR 975374765

    Phone: (503) 302-4004

    Type: Mailing

  • South Front Street, Central Point, Jackson County, Oregon, 97502, United States

    CENTRAL POINT, OR 975022725

    Phone: (541) 727-7501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Thea Pharma Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Thea Pharma Inc.$17
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: 2015-09-09

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
I20150909002740IOptometryORTBD

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 system4141$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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Provider's Procedures

KATIE MARIE GOLDSTEIN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOR92134Diagnostic imaging of retina2423

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: 0648265470View full group profile
NameSpecialtyState
O P T O M E T R YOR
-OR
O P H T H A L M O L O G YSC
O P T O M E T R YOR
O P T O M E T R YOR
O P H T H A L M O L O G YOR
O P T O M E T R YOR
O P H T H A L M O L O G YOR
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

Does KATIE MARIE GOLDSTEIN (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATIE MARIE GOLDSTEIN (O.D.) uses 1407086739.
Does the file indicate KATIE MARIE GOLDSTEIN (O.D.) is practicing under active NPI?
Directory data currently reports KATIE MARIE GOLDSTEIN (O.D.) as active.
What taxonomy line describes KATIE MARIE GOLDSTEIN (O.D.)?
For research purposes, treat KATIE MARIE GOLDSTEIN (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is KATIE MARIE GOLDSTEIN (O.D.) based?
KATIE MARIE GOLDSTEIN (O.D.) is tied to Medford, 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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