KAYLEE HASS (OD) – Optometrist, NPI 1689457103

KAYLEE HASS (OD) is a healthcare provider. based in Portland, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1689457103 (OR). The NPI Number for KAYLEE HASS (OD) is 1689457103

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KAYLEE HASS (OD)
NPI
1689457103
Phone
(541) 525-3179
Address
10545 SW WINDSOR PL
Enumeration Date
17 August 2023
Last Update Date
27 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416861237
Graduation Year
2024 (2 years ago)
PAC ID
2365988664
Group Practice PAC ID
9931197969
Professional Enrollment ID
I20240723002645
Address ID
OR974014009EU1471XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for KAYLEE HASS (OD)

  • 10545 SW WINDSOR PL

    PORTLAND, OR 972234272

    Phone: (541) 525-3179

    Type: Mailing

  • 1471 PEARL ST

    EUGENE, OR 974014009

    Phone: (541) 686-1237

    Type: Location

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 $210.

Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Glaukos Corporation ($121).

Total Amount

$210

General + Research + Ownership

Payments

5

Total payment records

General Amount

$210

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

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: 2024-07-23

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
I20240723002645IOptometryORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97223)

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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: 9931197969View full group profile
NameSpecialtyState
O P T O M E T R 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

How is KAYLEE HASS (OD) identified in CMS data?
CMS-hosted NPPES data lists KAYLEE HASS (OD) with NPI 1689457103.
Is KAYLEE HASS (OD) listed as active for patients and plans?
The listing shows KAYLEE HASS (OD) as active in the NPI system.
What is KAYLEE HASS (OD)'s primary classification?
Optometrist is the headline specialty for KAYLEE HASS (OD) here. Clinical services aligned with this taxonomy classification.
Where should I expect KAYLEE HASS (OD) on a map?
Expect Portland, Oregon as a primary anchor for KAYLEE HASS (OD) unless the record lists multiple sites.
Is the information about KAYLEE HASS (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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