DR. JOLENE CHANG RUDELL M.D., PH.D.
NPI 1144539305
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in San Diego, CA

Q: What is Jolene Rudell's NPI number?

The NPI number for Jolene Rudell is 1144539305. It was assigned to this individual provider in the NPPES registry on October 5, 2010. The provider is also known as Mi Young Chang.

Q: What is Jolene Rudell's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Q: When was this NPI record last updated?

The NPPES record for Jolene Rudell was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 05, 2010PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2020, Sep 5, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Jolene Chang Rudell M.d., Ph.d. NPPES

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

DR. JOLENE CHANG RUDELL M.D., PH.D. (NPI 1144539305) is an individual pediatric ophthalmology and strabismus specialist in San Diego, California, licensed in California (A135469) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2013).

NPPES Registry Identity

NPI1144539305

Entity TypeIndividualFemale

Primary Taxonomy207WX0110X

Provider Legal NameDR. JOLENE CHANG RUDELLCredential: M.D., PH.D.

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2013

Enumeration DateOctober 5, 2010

Last NPPES UpdateApril 20, 20204 updates tracked since enumeration

NPPES CertifiedApril 20, 2020

✔ NPI 1144539305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0110X

License✔ Licensed in CA · A135469

Definition

An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Also ListedOphthalmologyTaxonomy 207W00000X · License A135469 (CA)

200 W ARBOR DR, San Diego, CA 92103

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Other Names 1

Former Name (1)Mi Young Chang

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

Dr. Jolene Chang Rudell M.d., Ph.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 ID4880962406

PECOS Enrollment IDI20191015001115

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 2

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.

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

42 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

33 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)