Katlyn Rene Peterson, OD
Optometrist · Portland, OR
Katlyn Rene Peterson, OD is an optometrist with a practice address in Portland, Oregon, and NPI 1538768007, issued on Oct 25, 2020. Check the license (Oregon ATI4633, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Katlyn Rene Peterson
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License number
- ATI4633 OR
Self-reported in NPPES; status is on the state search - Practice location
- 1955 NW Northrup St, Portland, OR 97209
- Phone
- (503) 227-2020
- Enumerated
- Oct 25, 2020
- Record last updated
- Sep 6, 2022
- Fax
- (503) 222-0614
- Medicaid ID
- 500807355 OR
- Medicare enrollment
- Enrolled (PECOS I20220621001784); accepts Medicare assignment
- Medical or professional school
- University Of Missouri St Louis - School Of Optometry, 2020
- Entity
- Type 1 · individual
Also registered at 1955 NW Northrup St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Aazy Aaby, MDOphthalmology Physician1164404232
- Rebecca Armour, M.D.Ophthalmology Physician1124042692
- Robert Bentley, MDOphthalmology Physician1982686671
- Heather Cook, ODOptometrist1710969894
- Rory Cook, ODOptometrist1790767879
- Sarah Glass, M.D.Ophthalmology Physician1588195259
Verify Katlyn Rene Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license ATI4633Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
86% fewer Medicare Part D claims than the average optometrist in 2024
39 Medicare Part D claims for 30 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 41% of claims.
Most prescribed
- Neomycin-Polymyxin-Dexameth13 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 92.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $281.35
3 payments; by number, the most common kind was food and beverage; the largest payer was Johnson & Johnson Vision Care, Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Alberta Eye CarePortland, OR
- Urban Eye Gallery, LLCPortland, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Optometrist providers in Oregon
There are 944 optometrist records in Oregon.
Other optometrist records in Oregon
- James Adamek, ODEagle Point, OR1568660199
- Brittany Adams, O.D.Albany, OR1265732978
- Makayla Adams, ODMyrtle Creek, OR1790461911
- Shelly Adams, O.D.White City, OR1396908075
- Samuel Adelman, O.D.Happy Valley, OR1043545122
- Brett Agost, O.D.Gresham, OR1326030883
- Dane AgostGresham, OR1376461657
- Andrew Aker, O.D.Portland, OR1154520906
- Joseph An, O.D.Gresham, OR1235271511
- Anna Anderson, O.D.Portland, OR1376707984
Common questions
What is Katlyn Rene Peterson, OD's NPI number?
Katlyn Rene Peterson, OD's National Provider Identifier (NPI) is 1538768007, issued on Oct 25, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Katlyn Rene Peterson, OD located?
The NPPES record lists a practice address at 1955 NW Northrup St, Portland, OR, 97209. Phone: (503) 227-2020. Providers update this record themselves, so call before visiting.
How can I verify Katlyn Rene Peterson, OD's license?
NPPES lists Oregon license number ATI4633, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
How much does Katlyn Rene Peterson, OD prescribe under Medicare Part D?
In 2024, Katlyn Rene Peterson, OD had 39 Medicare Part D claims for 30 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.
What is Katlyn Rene Peterson, OD's MIPS final score?
The 2023 MIPS final score is 92.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.