DR. DIANE SUSAN SANTESSON O.D.
NPI 1457448797
Optometrist in Portland, OR

Active since October 06, 2006PECOS Enrolled
1040 NW 22ND AVE, STE. 168, PORTLAND, OR 97210(503) 413-7022(503) 413-7066 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Diane Susan Santesson O.d. NPPES

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

DR. DIANE SUSAN SANTESSON O.D. (NPI 1457448797) is an individual optometrist in Portland, Oregon, licensed in Oregon (3256T) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457448797
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DIANE SUSAN SANTESSONCredential: O.D.
Location Address1040 NW 22ND AVE, STE. 168Portland, OR 97210-3057
Mailing Address1040 Nw 22nd Ave, Ste. 168Portland, OR 97210-3057 · (503) 413-7022 · Fax (503) 413-7066
Fax(503) 413-7066
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateAugust 13, 2008
NPI 1457448797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OR · 3256T Licensed in HI · OD-472
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.

1040 NW 22ND AVE, Portland, OR 97210

Other Identifiers 6

Other0000213207HI · Hmsa (kaiser Address)
Other1145HI · Uha (380 Huku Lii, #107)
Medicare ID-Type UnspecifiedH100391HI · 380 Huku Lii Pl. Ste 107
Other0000213205HI · Hmsa (380 Huku Lii, #107)
Medicaid087295-01HI
Medicare UPINU68680HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Diane Susan Santesson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 20

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

Psychiatry & Neurology (Neurology)
1040 NW 22ND AVE, SUITE 420
PORTLAND, OR 97210
Psychiatry & Neurology (Neurology)
1040 NW 22ND AVE, SUITE 420
PORTLAND, OR 97210
Physical Medicine & Rehabilitation
1040 NW 22ND AVE
PORTLAND, OR 97210
Nurse Practitioner (Family)
1040 NW 22ND AVE, SUITE 520
PORTLAND, OR 97210
Surgery (Vascular Surgery)
1040 NW 22ND AVE, SUITE 250
PORTLAND, OR 97210
Surgery (Vascular Surgery)
1040 NW 22ND AVE, SUITE 250
PORTLAND, OR 97210
Surgery
1040 NW 22ND AVE, SUITE 520
PORTLAND, OR 97210
Neurological Surgery
1040 NW 22ND AVE, SUITE 630
PORTLAND, OR 97210

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 Diane Santesson's NPI number?

The NPI number for Diane Santesson is 1457448797. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Diane Santesson located?

Diane Santesson practices at 1040 NW 22nd Ave Ste. 168, Portland, OR 97210. The listed phone number is (503) 413-7022.

What is Diane Santesson's specialty?

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

Is Diane Santesson enrolled in Medicare?

Yes. Diane Santesson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Santesson was last updated on August 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.