MR. NEIL CHESEN MD
NPI 1801890843
Ophthalmology in West Reading, PA

Q: What is Neil Chesen's NPI number?

The NPI number for Neil Chesen is 1801890843. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Q: What is Neil Chesen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Neil Chesen 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.

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment

52.52/100

CMS Quality Rating

301 PENN AVE, STE 100, WEST READING, PA 19611(610) 372-2222(610) 372-5537 Get Directions Write a Review

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

On this page

About Mr. Neil Chesen Md NPPES

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

MR. NEIL CHESEN MD (NPI 1801890843) is an individual ophthalmology provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD031840E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Surgical Institute Of Reading, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1979).

NPPES Registry Identity

NPI1801890843

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMR. NEIL CHESENCredential: MD

Location Address301 PENN AVE, STE 100West Reading, PA 19611-1128

Mailing Address301 Penn Ave, Ste 100West Reading, PA 19611-1128 · (610) 372-2222 · Fax (610) 372-5537

Phone(610) 372-2222

Fax(610) 372-5537

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1979

Enumeration DateJune 8, 2005

Last NPPES UpdateMarch 20, 2008

✔ NPI 1801890843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD031840E

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.

301 PENN AVE, West Reading, PA 19611

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Other Identifiers 15

Other116122PA · Unison

Medicare ID-Type Unspecified39311PA

Medicare ID-Type Unspecified180006854PA · Palmetto Railroad Medicar

Other02327900PA · Capital Blue Cross

Other0057303PA · Aetna

Other0195480000PA · Independence Blue Shield

Other875366PA · Clarity Vision Plan

Other023279000PA · Keystone Senior Blue

Other7990026PA · Gateway Health Plan

Other27541PA · Hlth America/ Health Assu

Medicaid0011652660004PA

Other0057301PA · Aetna

Other02327900PA · Keystone Health Plan Cent

Other039311PA · Blue Sheild

Medicare UPIN12837

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Mr. Neil Chesen Md 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 ID8729030028

PECOS Enrollment IDI20101222001036

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 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.

540 services460 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.

415 services326 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.

220 services213 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

114 services69 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.

106 services99 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).

99 services94 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

93 services57 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

80 services48 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.

44 services44 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.

33 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 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.

20 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Surgical Institute Of Reading

Acute Care Hospitals · Wyomissing, PA

OwnershipPhysician

CMS Certification Number390316

Location2752 Century BoulevardWyomissing, PA 19610 · Berks County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

52.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

25.08

Referred Medical Equipment & Supplies CMS DME claims 4

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 suppliers24 claims24 services$47.70 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier15 claims29 services$50.51 avg. paid by Medicare

U-v lens, per lens V2755

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims22 services$13.86 avg. paid by Medicare

Lens, polycarbonate or equal, any index, per lens V2784

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier16 claims31 services$20.73 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 7

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

LENORE M CLARKE CRNP

Nurse Practitioner (Pediatrics)

301 PENN AVE
READING, PA 19611

Berks County (610) 372-9222

NEIL CHESEN, M.D.P.C.

Specialist

301 PENN AVE, SUITE 100
WEST READING, PA 19611

Berks County (610) 372-2222

KRISTEN E SHIMP CRNP

Nurse Practitioner (Obstetrics & Gynecology)

301 PENN AVE, SUITE 200
WEST READING, PA 19611

Berks County (610) 898-7560

VISION INNOVATION CENTERS OF PENNSYLVANIA LLC

Technician/Technologist (Optician)

301 PENN AVE
WEST READING, PA 19611

Berks County (610) 372-2222

WEST READING OPTICAL INC

Technician/Technologist (Optician)

301 PENN AVE, STE 100
WEST READING, PA 19611

Berks County (610) 375-8347

HUNTER REED HOFF OD

Optometrist

301 PENN AVE
WEST READING, PA 19611

Berks County (610) 372-2222

JANET A JACKSON CRNP

Nurse Practitioner (Pediatrics)

301 PENN AVE, #200
READING, PA 19611

Berks County (610) 372-9222

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 Neil Chesen's NPI number?

The NPI number for Neil Chesen is 1801890843. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Neil Chesen located?

Neil Chesen practices at 301 Penn Ave Ste 100, West Reading, PA 19611. The listed phone number is (610) 372-2222.

What is Neil Chesen's specialty?

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

Is Neil Chesen enrolled in Medicare?

Yes. Neil Chesen 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 Neil Chesen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Neil Chesen 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.

Is Neil Chesen affiliated with any hospitals?

According to CMS data, Neil Chesen is affiliated with Surgical Institute Of Reading.

When was this NPI record last updated?

The NPPES record for Neil Chesen 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.