DR. KATIE ABATA O.D.
NPI 1043646623
Optometrist in Appleton, WI

Q: What is Katie Abata's NPI number?

The NPI number for Katie Abata is 1043646623. It was assigned to this individual provider in the NPPES registry on September 16, 2013.

Q: What is Katie Abata's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Abata was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2013PECOS Enrolled

21 PARK PL, APPLETON, WI 54914(920) 739-4361(920) 739-6368 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Katie Abata O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATIE ABATA O.D. (NPI 1043646623) is an individual optometrist in Appleton, Wisconsin, licensed in Wisconsin (3324-35) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043646623

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KATIE ABATACredential: O.D.

Location Address21 PARK PLAppleton, WI 54914-8872

Mailing Address21 Park PlAppleton, WI 54914-8872 · (920) 739-4361 · Fax (920) 739-6368

Phone(920) 739-4361

Fax(920) 739-6368

Sole ProprietorNo

Enumeration DateSeptember 16, 2013

Last NPPES UpdateJune 25, 2015

✔ NPI 1043646623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WI · 3324-35

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

21 PARK PL, Appleton, WI 54914

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katie Abata O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katie Abata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Eye Associates

Same address

Optometrist

21 PARK PL
Appleton, WI 54914

Reassigned Medicare billing, Wisconsin enrollment
32 clinicians in this Medicare group

NPI 1699789032 (920) 739-4361

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

96 services96 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

72 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

51 services45 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

24 services24 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

24 services23 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY LANDWEHR O.D.

Optometrist

21 PARK PL
APPLETON, WI 54914

Outagamie County (920) 739-4361

DR. DOUGLAS FRANCIS SALM M.D.

Ophthalmology

21 PARK PL
APPLETON, WI 54914

Outagamie County (920) 739-4361

PARK PLACE OPTICAL, LTD

Technician/Technologist (Optician)

21 PARK PL
APPLETON, WI 54914

Outagamie County (920) 739-8235

DR. SARA DAVIS SCHALK OD

Optometrist

21 PARK PL
APPLETON, WI 54914

Outagamie County (920) 739-4361

MARVIN L HALL MD

Ophthalmology

21 PARK PL
APPLETON, WI 54914

Outagamie County (920) 739-4361

DANIEL THADDEUS NOWAK O.D.

Optometrist

21 PARK PL
APPLETON, WI 54914

Outagamie County (920) 739-4361

ALEC ROHRER OD

Optometrist

21 PARK PL
APPLETON, WI 54914

Outagamie County (920) 739-4361

MR. MICHEAL PAUL VRABEC M.D.

Ophthalmology

21 PARK PL
APPLETON, WI 54914

Outagamie County (920) 739-4361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Abata's NPI number?

The NPI number for Katie Abata is 1043646623. It was assigned to this individual provider in the NPPES registry on September 16, 2013.

Where is Katie Abata located?

Katie Abata practices at 21 Park Pl, Appleton, WI 54914. The listed phone number is (920) 739-4361.

What is Katie Abata's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Katie Abata enrolled in Medicare?

Yes. Katie Abata is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katie Abata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Abata reassigns Medicare benefits to Valley Eye Associates (Appleton, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katie Abata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Abata accept?

Health plans from Aspirus Health Plan list Katie Abata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katie Abata was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.