DR. CHAO LI MD
NPI 1154819290
Ophthalmology in Charlotte, NC

Active since April 24, 2018PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
6035 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 295-3045 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2022, Apr 24, 2018 (2 updates tracked since 2018).

About Dr. Chao Li Md NPPES

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

DR. CHAO LI MD (NPI 1154819290) is an individual ophthalmology provider in Charlotte, North Carolina, licensed in North Carolina (2022-01210) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2018).

NPPES Registry Identity

NPI1154819290
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. CHAO LICredential: MD
Location Address6035 FAIRVIEW RDCharlotte, NC 28210-3256
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3045
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2018
Enumeration DateApril 24, 2018
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
NPI 1154819290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 2022-01210
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
6035 FAIRVIEW RD, Charlotte, NC 28210

Accepted 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

Dr. Chao Li Md 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 ID8729337654
PECOS Enrollment IDI20220928003799
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 14

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
476 services353 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
309 services254 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
297 services297 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
176 services164 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
168 services109 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
153 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Speech-Language Pathologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Optometrist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Ophthalmology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210

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 Chao Li's NPI number?

The NPI number for Chao Li is 1154819290. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Chao Li located?

Chao Li practices at 6035 Fairview Rd, Charlotte, NC 28210. The listed phone number is (704) 295-3045.

What is Chao Li's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Chao Li enrolled in Medicare?

Yes. Chao Li 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 Chao Li accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Chao Li 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 Chao Li was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.