KATELYN DENISE YATES – Optometrist, NPI 1124870944

KATELYN DENISE YATES is a healthcare provider. based in Newport, Tennessee. specializing in OPTOMETRY. They hold a License No. 3893 (TN). The NPI Number for KATELYN DENISE YATES is 1124870944

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN DENISE YATES
NPI
1124870944
Phone
(423) 720-9393
Address
1002 US-25W
Enumeration Date
4 April 2024
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4237209393
Graduation Year
2024 (2 years ago)
PAC ID
4789117086
Group Practice PAC ID
6709125776
Professional Enrollment ID
I20241024003782
Address ID
TN378218048NE1002X70XX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for KATELYN DENISE YATES

  • 1002 US-25W

    UNIT #70

    NEWPORT, TN 37821

    Phone: (423) 720-9393

    Type: Location

  • 3373 OWL HOLE GAP RD

    RUTLEDGE, TN 378614237

    Phone:

    Type: Mailing

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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2024-10-24

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
I20241024003782IOptometryTNTBD

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 37821)

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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: 6709125776View full group profile
NameSpecialtyState
O P T O M E T R YTN

Reviews

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Frequently asked questions

Can I verify KATELYN DENISE YATES with an NPI only?
You can start verification with NPI 1124870944 for KATELYN DENISE YATES, then check state licensing separately.
Does the file indicate KATELYN DENISE YATES is practicing under active NPI?
Directory data currently reports KATELYN DENISE YATES as active.
What is KATELYN DENISE YATES best known for clinically?
Directory data describes KATELYN DENISE YATES with Optometrist. Clinical services aligned with this taxonomy classification.
Does KATELYN DENISE YATES list a practice location?
Patients near Newport, Tennessee may find KATELYN DENISE YATES in results; validate coverage separately.
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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