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KAREN ANN COATES O.D.
NPI 1558417840
Optometrist in Sandusky, OH

Active since January 27, 2007PECOS EnrolledAccepts Medicare Assignment
5005 MILAN RD, SANDUSKY, OH 44870(419) 625-7904(419) 625-7833 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Karen Ann Coates O.d. NPPES

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

KAREN ANN COATES O.D. (NPI 1558417840) is an individual optometrist in Sandusky, Ohio, licensed in Ohio (4091) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1989).

NPPES Registry Identity

NPI1558417840
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKAREN ANN COATESCredential: O.D.
Location Address5005 MILAN RDSandusky, OH 44870-5845
Mailing Address5005 Milan RdSandusky, OH 44870-5845 · (419) 625-7904 · Fax (419) 625-7833
Phone(419) 625-7904
Fax(419) 625-7833
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1989
Enumeration DateJanuary 27, 2007
Last NPPES UpdateApril 19, 2026
NPPES CertifiedApril 19, 2026
✔ NPI 1558417840 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 OH · 4091
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.
5005 MILAN RD, Sandusky, OH 44870
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Ann Coates O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901098201
PECOS Enrollment IDI20101005000760
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.

Areas of Expertise CMS Part B claims

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Karen Coates's NPI number?

The NPI number for Karen Coates is 1558417840. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Where is Karen Coates located?

Karen Coates practices at 5005 Milan Rd, Sandusky, OH 44870. The listed phone number is (419) 625-7904.

What is Karen Coates's specialty?

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

Is Karen Coates enrolled in Medicare?

Yes. Karen Coates is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Coates accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Karen Coates 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 Karen Coates was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.