DR. PAUL HONG-DZE CHEN M.D.
NPI 1760486419
Ophthalmology in Carlsbad, CA

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1905 CALLE BARCELONA, STE 208, CARLSBAD, CA 92009(760) 930-9696(760) 930-9696 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Hong-dze Chen M.d. NPPES

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

DR. PAUL HONG-DZE CHEN M.D. (NPI 1760486419) is an individual ophthalmology provider in Carlsbad, California, licensed in California (A65156) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1996).

NPPES Registry Identity

NPI1760486419
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PAUL HONG-DZE CHENCredential: M.D.
Location Address1905 CALLE BARCELONA, STE 208Carlsbad, CA 92009-8452
Mailing Address1905 Calle Barcelona, Ste 208Carlsbad, CA 92009-8452 · (760) 930-9696 · Fax (760) 930-0737
Fax(760) 930-9696
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 1996
Enumeration DateJune 10, 2005
Last NPPES UpdateMarch 20, 2008
NPI 1760486419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A65156
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.
1905 CALLE BARCELONA, Carlsbad, CA 92009

Other Identifiers 4

Medicare UPINH15914CA
Medicare ID-Type UnspecifiedA65156CA
Medicare NSC5580990001CA
Medicaid9170433CA

Accepted 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

Dr. Paul Hong-dze 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 ID1658272745
PECOS Enrollment IDI20040120001083
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 25

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.
2,002 services1,053 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.
930 services880 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
783 services734 patients
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.
773 services307 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.
730 services717 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).
702 services694 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92009 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.

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

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers37 claims37 services$66.97 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier23 claims46 services$31.08 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers21 claims39 services$49.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Optometrist (Corneal and Contact Management)
1905 CALLE BARCELONA, STE. 208
CARLSBAD, CA 92009
General Practice
1905 CALLE BARCELONA
CARLSBAD, CA 92009
Ophthalmology
1905 CALLE BARCELONA, SUITE 208
CARLSBAD, CA 92009

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 Paul Chen's NPI number?

The NPI number for Paul Chen is 1760486419. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Paul Chen located?

Paul Chen practices at 1905 Calle Barcelona Ste 208, Carlsbad, CA 92009. The listed phone number is (760) 930-9696.

What is Paul Chen's specialty?

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

Is Paul Chen enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Chen accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Paul Chen 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 Paul Chen was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.