Katlyn Rene Peterson, OD
NPI 1538768007ActiveIndividual· Optometrist· Portland, OR
Optometrist (OD) in Portland, Oregon, trained at University of Missouri St Louis - School of Optometry (class of 2020). Mostly services rather than prescriptions: Medicare paid $5,799 for 71 patients in 2024, with only 39 Part D claims. Bausch & Lomb Americas Inc. was the largest of 4 companies reporting payments in 2025, $357.66 in all, mostly food and beverage.
Overview
| NPI | 1538768007 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Oct 25, 2020 |
| Last updated in NPPES | Aug 27, 2026 |
| Certified by provider | Aug 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ATI4633 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 99 across 13 procedure codes |
| Paid by Medicare | $5,799 |
Part D prescriptions in 2024
| Prescriptions (claims) | 39 · 48 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $5,112 |
| Generic share | 59% of claims |
Education and affiliations
| Medical school | University of Missouri St Louis - School of Optometry |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Optometry |
Medical groups
- Alberta Eye CarePortland, OR · 7 clinicians
- Urban Eye Gallery, LLCPortland, OR · 2 clinicians
Industry payments (Open Payments)
- 2025$357.66 · 6 payments from 4 companies
- 2024$281.35 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bausch & Lomb Americas Inc. | $279.63 | 3 |
| Coopervision Inc. | $30.00 | 1 |
| Alcon Vision LLC | $29.39 | 1 |
| Johnson & Johnson Vision Care, Inc. | $18.64 | 1 |
What the 2025 payments were for
- Food and Beverage$357.66 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist providers in Portland
- 1740538388
- 1376903328
- 1366998759
- 1902296817
- 1780881276
- 1609268051
- 1033262563
- 1336515741
- 1295915700
- 1952900086
- 1962584441
- 1245556687