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DR. KATHERINE MARJORIE STOUT-BAUTISTA O.D.
NPI 1326133976
Optometrist in San Rafael, CA

Active since October 03, 2006PECOS Enrolled
1033 3RD ST, SAN RAFAEL, CA 94901(415) 482-6826(415) 482-6726 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Katherine Marjorie Stout-bautista O.d. NPPES

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

DR. KATHERINE MARJORIE STOUT-BAUTISTA O.D. (NPI 1326133976) is an individual optometrist in San Rafael, California, licensed in California (OPT-12944-T) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326133976
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHERINE MARJORIE STOUT-BAUTISTACredential: O.D.
Location Address1033 3RD STSan Rafael, CA 94901-3107
Mailing Address1033 3rd StSan Rafael, CA 94901-3107 · (415) 482-6826 · Fax (415) 482-6726
Phone(415) 482-6826
Fax(415) 482-6726
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1326133976 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 CA · OPT-12944-T
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.
1033 3RD ST, San Rafael, CA 94901
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Other Names 1

Other Name (5)Dr. Katherine Marjorie Stout Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence 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. Katherine Marjorie Stout-bautista 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 Katherine Stout-bautista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.4 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 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
$154.04 typical visit price
range $69.07 – $202.63
Typical copayment $38.51 (range $17.26 – $50.65)
Most-billed visit code 99204
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

SABRINA N STILWELL O.D.
Optometrist
1033 3RD ST
SAN RAFAEL, CA 94901
Marin County (415) 482-6826
JOAN T. PONT MD
Internal Medicine
1033 3RD ST
SAN RAFAEL, CA 94901
Marin County (415) 482-6886
MS. MARY Z LEE PHARM D
Pharmacist
1033 3RD ST
SAN RAFAEL, CA 94901
Marin County (415) 482-6900
MRS. LINDA TERADA-YAMAMOTO PHARMD
Pharmacist
1033 3RD ST
SAN RAFAEL, CA 94901
Marin County (415) 482-6907
DR. VINCE GABRIEL DELGADILLO O.D.
Optometrist
1033 3RD ST
SAN RAFAEL, CA 94901
Marin County (415) 444-2990
MRS. GRACE KIM HOCHSTOEGER FNP
Nurse Practitioner (Family)
1033 3RD ST
SAN RAFAEL, CA 94901
Marin County (415) 444-2940
STEPHEN COURTNEY GODFREY O.D.
Optometrist
1033 3RD ST
SAN RAFAEL, CA 94901
Marin County (415) 482-6707
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
1033 3RD ST
SAN RAFAEL, CA 94901
Marin County (415) 482-6904

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 Katherine Stout-bautista's NPI number?

The NPI number for Katherine Stout-bautista is 1326133976. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Dr. Katherine Marjorie Stout Od.

Where is Katherine Stout-bautista located?

Katherine Stout-bautista practices at 1033 3rd St, San Rafael, CA 94901. The listed phone number is (415) 482-6826.

What is Katherine Stout-bautista's specialty?

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

Is Katherine Stout-bautista enrolled in Medicare?

Yes. Katherine Stout-bautista is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Stout-bautista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Stout-bautista reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). 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 Katherine Stout-bautista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Stout-bautista accept?

Health plans from Providence Health Plan list Katherine Stout-bautista 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 Katherine Stout-bautista was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.