KATIE ELLIOTT (OD) – Optometrist, NPI 1568208569

KATIE ELLIOTT (OD) is a healthcare provider. based in Fort worth, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 11078T (TX). The NPI Number for KATIE ELLIOTT (OD) is 1568208569

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KATIE ELLIOTT (OD)
NPI
1568208569
Phone
(817) 514-2114
Address
3924 N TARRANT PKWY
Enumeration Date
8 July 2024
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175142114
Graduation Year
2024 (2 years ago)
PAC ID
3476080508
Group Practice PAC ID
5193792786
Professional Enrollment ID
I20241231001277
Address ID
TX762445410FO3924XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for KATIE ELLIOTT (OD)

  • 3924 N TARRANT PKWY

    FORT WORTH, TX 762445410

    Phone: (817) 514-2114

    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 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: CooperVision Inc. ($32).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$32
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: 2024-12-31

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
I20241231001277IOptometryTXTBD

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 76244)

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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: 5193792786View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YCA
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I cross-check KATIE ELLIOTT (OD) using NPI 1568208569?
NPI 1568208569 belongs to KATIE ELLIOTT (OD); compare other details if you need extra assurance.
Would KATIE ELLIOTT (OD) appear as active to a payer?
You can treat KATIE ELLIOTT (OD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KATIE ELLIOTT (OD)?
KATIE ELLIOTT (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATIE ELLIOTT (OD)?
Travel planning: use Fort Worth, Texas as the reference point for KATIE ELLIOTT (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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