KENNETH C CHERN M.D.
NPI 1790880078
Ophthalmology in Burlingame, CA

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1720 EL CAMINO REAL STE 225, BURLINGAME, CA 94010(650) 697-3200(650) 697-3203 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth C Chern M.d. NPPES

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

KENNETH C CHERN M.D. (NPI 1790880078) is an individual ophthalmology provider in Burlingame, California, licensed in California (G82279) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1992).

NPPES Registry Identity

NPI1790880078
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKENNETH C CHERNCredential: M.D.
Location Address1720 EL CAMINO REAL STE 225Burlingame, CA 94010-3230
Mailing Address1720 El Camino Real Ste 225Burlingame, CA 94010-3230 · (650) 697-3200 · Fax (650) 697-3203
Fax(650) 697-3203
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1992
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJune 10, 2019
NPI 1790880078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G82279
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.
1720 EL CAMINO REAL STE 225, Burlingame, CA 94010

Other Identifiers 1

Medicaid00G822790CA

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

Kenneth C Chern 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 ID9931126554
PECOS Enrollment IDI20051101001225
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 19

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 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.
623 services411 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.
438 services397 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.
393 services388 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.
387 services379 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.
375 services294 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
360 services351 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%59 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 4

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

Optometrist
1720 EL CAMINO REAL STE 225
BURLINGAME, CA 94010
Ophthalmology
1720 EL CAMINO REAL STE 225
BURLINGAME, CA 94010
Ophthalmology
1720 EL CAMINO REAL STE 225
BURLINGAME, CA 94010
Ophthalmology
1720 EL CAMINO REAL STE 225
BURLINGAME, CA 94010

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 Kenneth Chern's NPI number?

The NPI number for Kenneth Chern is 1790880078. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Kenneth Chern located?

Kenneth Chern practices at 1720 El Camino Real Ste 225, Burlingame, CA 94010. The listed phone number is (650) 697-3200.

What is Kenneth Chern's specialty?

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

Is Kenneth Chern enrolled in Medicare?

Yes. Kenneth Chern 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 Kenneth Chern accept?

Health plans from Providence Health Plan list Kenneth Chern 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 Kenneth Chern was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.