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JORDAN M CHILLA OD
NPI 1174019962
Optometrist in Kennett Square, PA

Active since July 05, 2018PECOS Enrolled
402 BAYARD RD STE 200, KENNETT SQUARE, PA 19348(484) 770-8132 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2020, Jul 30, 2019, Jul 5, 2018 (3 updates tracked since 2018).

About Jordan M Chilla Od NPPES

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

JORDAN M CHILLA OD (NPI 1174019962) is an individual optometrist in Kennett Square, Pennsylvania, licensed in Pennsylvania (OEG003411) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2018).

NPPES Registry Identity

NPI1174019962
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJORDAN M CHILLACredential: OD
Location Address402 BAYARD RD STE 200Kennett Square, PA 19348-1862
Mailing Address402 Bayard Rd Ste 200Kennett Square, PA 19348-1862 · (484) 770-8132
Phone(484) 770-8132
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2018
Enumeration DateJuly 5, 2018
Last NPPES UpdateMarch 16, 20203 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
✔ NPI 1174019962 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 PA · OEG003411
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.
402 BAYARD RD STE 200, Kennett Square, PA 19348
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Other Names 1

Former Name (1)Jordan M Heidelbaugh Od

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan M Chilla Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507114733
PECOS Enrollment IDI20180806000152
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 Reassignment

Medicare enrollment records show Jordan Chilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ganly Vision Care, PC
Same address
Optometrist
402 BAYARD RD, SUITE 200
Kennett Square, PA 19348
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1922235456 (610) 444-6703

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
83 services81 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.
81 services71 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 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.
16 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19348 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 Jordan Chilla's NPI number?

The NPI number for Jordan Chilla is 1174019962. It was assigned to this individual provider in the NPPES registry on July 5, 2018. The provider is also known as Jordan M Heidelbaugh Od.

Where is Jordan Chilla located?

Jordan Chilla practices at 402 Bayard Rd Ste 200, Kennett Square, PA 19348. The listed phone number is (484) 770-8132.

What is Jordan Chilla's specialty?

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

Is Jordan Chilla enrolled in Medicare?

Yes. Jordan Chilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Chilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Chilla reassigns Medicare benefits to Ganly Vision Care, PC (Kennett Square, PA). The 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 Jordan Chilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Chilla was last updated on March 16, 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.