DR. JANET CHEN M.D,
NPI 1366404469
Ophthalmology in Pismo Beach, CA

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
921 OAK PARK BLVD, SUITE 201B, PISMO BEACH, CA 93449(805) 489-8286(805) 489-7376 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Janet Chen M.d, NPPES

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

DR. JANET CHEN M.D, (NPI 1366404469) is an individual ophthalmology provider in Pismo Beach, California, licensed in California (G69459) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1989).

NPPES Registry Identity

NPI1366404469
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. JANET CHENCredential: M.D,
Location Address921 OAK PARK BLVD, SUITE 201BPismo Beach, CA 93449-3264
Mailing Address921 Oak Park Blvd, Suite 201bPismo Beach, CA 93449-3264 · (805) 489-8286 · Fax (805) 489-7376
Fax(805) 489-7376
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1989
Enumeration DateApril 4, 2006
Last NPPES UpdateJuly 6, 2017
NPI 1366404469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G69459
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.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License G69459 (CA)
921 OAK PARK BLVD, Pismo Beach, CA 93449

Other Identifiers 4

Medicaid00G694590CA
Other180032550CA · Railroad Medicare
Medicare ID-Type UnspecifiedWG69459ACA · Medicare Provider
Medicare UPINF65017CA

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. Janet Chen M.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 ID345238606
PECOS Enrollment IDI20120514000161
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 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.
873 services624 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
276 services242 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.
253 services238 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
220 services148 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
194 services162 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
172 services146 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
12%269 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
45%55 patients2/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
51%1,567 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%770 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
31%980 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 99% · 335 patients
99%335 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%980 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 752 patients
0%752 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 10

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

Surgery
921 OAK PARK BLVD, SUITE 201
PISMO BEACH, CA 93449
Surgery
921 OAK PARK BLVD, SUITE 201
PISMO BEACH, CA 93449
Clinic/Center (Radiology)
921 OAK PARK BLVD, STE 102
PISMO BEACH, CA 93449
Ophthalmology
921 OAK PARK BLVD, SUITE 201B
PISMO BEACH, CA 93449
Specialist
921 OAK PARK BLVD, SUITE 100B
PISMO BEACH, CA 93449
Orthopaedic Surgery
921 OAK PARK BLVD
PISMO BEACH, CA 93449
Ophthalmology
921 OAK PARK BLVD, SUITE 201B
PISMO BEACH, CA 93449
Surgery
921 OAK PARK BLVD, SUITE 201
PISMO BEACH, CA 93449

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 Janet Chen's NPI number?

The NPI number for Janet Chen is 1366404469. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Janet Chen located?

Janet Chen practices at 921 Oak Park Blvd Suite 201B, Pismo Beach, CA 93449. The listed phone number is (805) 489-8286.

What is Janet Chen's specialty?

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

Is Janet Chen enrolled in Medicare?

Yes. Janet 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.

When was this NPI record last updated?

The NPPES record for Janet Chen was last updated on July 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.