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DR. LISA CHEN OD
NPI 1003178021
Optometrist in New York, NY

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
551 5TH AVE FL 2, NEW YORK, NY 10176(212) 719-4000(212) 382-2123 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 28, 2018, Feb 21, 2017, Feb 16, 2016 (3 updates tracked since 2016).

About Dr. Lisa Chen Od NPPES

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

DR. LISA CHEN OD (NPI 1003178021) is an individual optometrist in New York, New York, licensed in New York (TUV007833) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of New England College Of Optometry (2012).

NPPES Registry Identity

NPI1003178021
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LISA CHENCredential: OD
Location Address551 5TH AVE FL 2New York, NY 10176-0001
Mailing Address551 5th Ave, 2nd FloorNew York, NY 10176-0001 · (212) 719-4000 · Fax (212) 382-2123
Phone(212) 719-4000
Fax(212) 382-2123
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateNovember 28, 20183 updates tracked since enumeration
✔ NPI 1003178021 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 NY · TUV007833
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.
551 5TH AVE FL 2, New York, NY 10176
Open in Google Maps ↗

Secondary Practice Location 1

Location 1599 Lexington AveNew York, NY 10022-6030 · Phone (212) 688-3580 · Fax (212) 688-1339

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Chen Od 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 ID1153578000
PECOS Enrollment IDI20121211000063
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 Reassignments

2

Medicare enrollment records show Lisa Chen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
14 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
C.H. Optometric Associates, P.C.
18 mi
Optometrist
297 MINEOLA BLVD STE 2
Mineola, NY 11501
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Ch Optometric Associates PC
  • 2 clinicians in this Medicare group
NPI 1629802889 (516) 980-2020

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 10176 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Lisa Chen's NPI number?

The NPI number for Lisa Chen is 1003178021. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Lisa Chen located?

Lisa Chen practices at 551 5th Ave Fl 2, New York, NY 10176. The listed phone number is (212) 719-4000.

What is Lisa Chen's specialty?

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

Is Lisa Chen enrolled in Medicare?

Yes. Lisa Chen 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.

Which organizations bill Medicare for Lisa Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Chen reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and C.H. Optometric Associates, P.C. (Mineola, NY). Each 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 Lisa Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Chen 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 9 other insurers list Lisa Chen 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 Lisa Chen was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.