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CHELSEA NICOLE CHANDLER O.D.
NPI 1285158022
Optometrist in Jacksonville, AL

Active since August 02, 2017PECOS EnrolledAccepts Medicare Assignment
80.01/100
CMS Quality Rating
1640 PELHAM RD S, JACKSONVILLE, AL 36265(256) 435-6680(256) 435-6705 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 2, 2017 (3 updates tracked since 2017).

About Chelsea Nicole Chandler O.d. NPPES

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

CHELSEA NICOLE CHANDLER O.D. (NPI 1285158022) is an individual optometrist in Jacksonville, Alabama, licensed in Alabama (S-D79-TA-A75) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285158022
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCHELSEA NICOLE CHANDLERCredential: O.D.
Location Address1640 PELHAM RD SJacksonville, AL 36265-3312
Mailing Address1640 Pelham Rd SJacksonville, AL 36265-3312 · (256) 435-6680 · Fax (256) 435-6705
Phone(256) 435-6680
Fax(256) 435-6705
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 2, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1285158022 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 AL · S-D79-TA-A75
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.
1640 PELHAM RD S, Jacksonville, AL 36265
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1822 Leighton AveAnniston, AL 36207-5786 · Phone (256) 237-6769
Location 21903 Piedmont CutoffHokes Bluff, AL 35903-2805 · Phone (256) 492-8000
Location 32427 Al Highway 202 Ste CAnniston, AL 36201-5391 · Phone (256) 238-1100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, 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

Chelsea Nicole Chandler 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 ID9931473493
PECOS Enrollment IDI20170921001999
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 12

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.

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.
2,160 services15 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.
162 services162 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.
137 services101 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.
80 services73 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
50 services17 patients
Evaluation of eye adaptation to light and dark with interpretation and report 92284
This procedure checks how your eyes adjust to different light conditions. In a dimly lit room, your eyes are first exposed to bright light. Then, the lights are turned off to see how quickly your eyes adapt to darkness. This helps identify any potential vision problems.
50 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36265 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

80.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.03
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
96%245 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
88%26 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
55%1,949 patients2/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
47%76 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%505 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID G. CHANDLER, O.D.,P.C.
Optometrist
1640 PELHAM RD S
JACKSONVILLE, AL 36265
Calhoun County (256) 435-6680
MR. DAVID GLENN CHANDLER O.D.,PC
Optometrist
1640 PELHAM RD S
JACKSONVILLE, AL 36265
Calhoun County (256) 435-6680

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 Chelsea Chandler's NPI number?

The NPI number for Chelsea Chandler is 1285158022. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Chelsea Chandler located?

Chelsea Chandler practices at 1640 Pelham Rd S, Jacksonville, AL 36265. The listed phone number is (256) 435-6680.

What is Chelsea Chandler's specialty?

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

Is Chelsea Chandler enrolled in Medicare?

Yes. Chelsea Chandler 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 Chelsea Chandler accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Chelsea Chandler 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 Chelsea Chandler was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.