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DR. KEN E GANLY OD
NPI 1609871763
Optometrist in Kennett Square, PA

Active since June 16, 2005PECOS Enrolled
402 BAYARD RD, SUITE 200, KENNETT SQUARE, PA 19348(484) 770-8132(484) 770-8136 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ken E Ganly Od NPPES

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

DR. KEN E GANLY OD (NPI 1609871763) is an individual optometrist in Kennett Square, Pennsylvania, licensed in Pennsylvania (OEG-000362) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1993).

NPPES Registry Identity

NPI1609871763
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEN E GANLYCredential: OD
Location Address402 BAYARD RD, SUITE 200Kennett Square, PA 19348-1862
Mailing Address109 Hillside LnKennett Square, PA 19348-2267 · (484) 678-7276
Phone(484) 770-8132
Fax(484) 770-8136
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1993
Enumeration DateJune 16, 2005
Last NPPES UpdateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1609871763 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 · OEG-000362
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, Kennett Square, PA 19348
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Other Identifiers 2

Other460176PA · Individual Aetna Id
OtherPA7531PA · Eyemed Insurance Provider

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ken E Ganly Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325943335
PECOS Enrollment IDI20090903000106
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 Ken Ganly 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 8

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.
110 services106 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.
78 services59 patients
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.
55 services53 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.
26 services22 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.
23 services23 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.
22 services20 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.

Other Providers at the Same Location NPPES 3

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

GANLY VISION CARE, PC
Optometrist
402 BAYARD RD, SUITE 200
KENNETT SQUARE, PA 19348
Chester County (484) 770-8132
GANLY VISION CARE, PC
Optometrist
402 BAYARD RD, SUITE 200
KENNETT SQUARE, PA 19348
Chester County (610) 444-6703
DR. CAROL ANNE B LUCHANKO-GANLY OD
Optometrist
402 BAYARD RD, SUITE 200
KENNETT SQUARE, PA 19348
Chester County (484) 770-8132

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 Ken Ganly's NPI number?

The NPI number for Ken Ganly is 1609871763. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Ken Ganly located?

Ken Ganly practices at 402 Bayard Rd Suite 200, Kennett Square, PA 19348. The listed phone number is (484) 770-8132.

What is Ken Ganly's specialty?

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

Is Ken Ganly enrolled in Medicare?

Yes. Ken Ganly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ken Ganly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ken Ganly 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 Ken Ganly'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 Ken Ganly was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.