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DR. CARLTON CHAN O.D.
NPI 1659367811
Optometrist in Solana Beach, CA

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment
665 SAN RODOLFO DR, SUITE 119, SOLANA BEACH, CA 92075(858) 755-5503 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carlton Chan O.d. NPPES

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

DR. CARLTON CHAN O.D. (NPI 1659367811) is an individual optometrist in Solana Beach, California, licensed in California (CA9520TLG) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1990).

NPPES Registry Identity

NPI1659367811
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CARLTON CHANCredential: O.D.
Location Address665 SAN RODOLFO DR, SUITE 119Solana Beach, CA 92075-2047
Mailing Address665 San Rodolfo Dr, Suite 119Solana Beach, CA 92075-2047 · (858) 755-5503
Phone(858) 755-5503
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1990
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJune 27, 2013
✔ NPI 1659367811 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 CA · CA9520TLG
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.
665 SAN RODOLFO DR, Solana Beach, CA 92075
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlton Chan 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 ID3779710942
PECOS Enrollment IDI20131213000748
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 Carlton Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Total Vision PC
11 mi
Optometrist
11717 BERNARDO PLAZA CT STE 105
San Diego, CA 92128
  • Reassigned Medicare billing, California enrollment
  • 236 clinicians in this Medicare group
NPI 1356813711 (858) 487-5555

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 6

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.
315 services305 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.
198 services194 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.
80 services74 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
49 services49 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).
38 services38 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.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92075 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Reported Quality Measures

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.
86%1,110 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%65 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.
5%334 patients1/55-star benchmark: 97%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
95%40 patients4/55-star benchmark: 100%
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…
41%334 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%334 patients1/55-star benchmark: 89%
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% · 176 patients
0%176 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 5

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

CARLTON CHAN OD AN OPTOMETRIC CORPORATION
Optometrist
665 SAN RODOLFO DR, STE 119
SOLANA BEACH, CA 92075
San Diego County (858) 755-5503
IOANA M SWIKARD OD A PROFESSIONAL CORPORATION
Optometrist
665 SAN RODOLFO DR, SUITE 119
SOLANA BEACH, CA 92075
San Diego County (858) 793-1550
DRS. SANDLER AND KAUFFMAN A PROFESSIONAL DENTAL CORPORATION
Dentist (General Practice)
665 SAN RODOLFO DR, SUITE 117
SOLANA BEACH, CA 92075
San Diego County (858) 345-1960
DR. WANDA KAUFFMAN D.M.D.
Dentist (General Practice)
665 SAN RODOLFO DR, STE 117
SOLANA BEACH, CA 92075
San Diego County (858) 345-1960
DR. IOANA M. SWIKARD O.D.
Optometrist
665 SAN RODOLFO DR, STE 119
SOLANA BEACH, CA 92075
San Diego County (858) 793-1550

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 Carlton Chan's NPI number?

The NPI number for Carlton Chan is 1659367811. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Carlton Chan located?

Carlton Chan practices at 665 San Rodolfo Dr Suite 119, Solana Beach, CA 92075. The listed phone number is (858) 755-5503.

What is Carlton Chan's specialty?

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

Is Carlton Chan enrolled in Medicare?

Yes. Carlton Chan 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.

Which organization bills Medicare for Carlton Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlton Chan reassigns Medicare benefits to Total Vision PC (San Diego, CA). 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 Carlton Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlton Chan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Carlton Chan 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 Carlton Chan was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.