Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNY CHEN OD
NPI 1861902959
Optometrist in Frederick, MD

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment
90.56/100
CMS Quality Rating
5283 CORPORATE DR STE 201, FREDERICK, MD 21703(301) 622-4545(301) 622-4044 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Nov 15, 2019, Oct 22, 2018 (3 updates tracked since 2018).

About Kenny Chen Od NPPES

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

KENNY CHEN OD (NPI 1861902959) is an individual optometrist in Frederick, Maryland, licensed in Maryland (TA2699) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2017).

NPPES Registry Identity

NPI1861902959
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKENNY CHENCredential: OD
Location Address5283 CORPORATE DR STE 201Frederick, MD 21703
Mailing Address420 Mountain Ave Fl 4New Providence, NJ 07974-2736 · (908) 458-8333 · Fax (908) 530-6522
Fax(301) 622-4044
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2017
Enumeration DateOctober 3, 2017
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1861902959 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 MD · TA2699
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.
5283 CORPORATE DR STE 201, Frederick, MD 21703

Other Identifiers 1

Medicaid207210600MA

Accepted 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

Kenny Chen Od 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 ID7911330436
PECOS Enrollment IDI20191213000576, I20191217000116
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 Reassignments

2

Medicare enrollment records show Kenny Chen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
5500 BUCKEYSTOWN PIKE STE 892
Frederick, MD 21703
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1992512016 (District of Columbia)
  • 253 clinicians in this Medicare group
Ophthalmology
7501 GREENWAY CENTER DR STE 700
Greenbelt, MD 20770
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 69 clinicians in this Medicare group

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 10

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.
602 services598 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.
405 services333 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).
191 services142 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.
159 services109 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.
128 services128 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.
116 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21703 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

90.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.89
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
82%120 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
99%551 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
94%78 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,646 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
79%67 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%49 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,113 patients
Patients screened: 99% · 1,113 patients
95%56 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
98%178 patients
Tobacco Use and Help with Quitting Among Adolescents
91%214 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,327 patients
Patients totalRate: 0% · 1,327 patients
0%1,327 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 3

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

Optometrist
5283 CORPORATE DR STE 201
FREDERICK, MD 21703
Ophthalmology
5283 CORPORATE DR STE 201
FREDERICK, MD 21703
Ophthalmology
5283 CORPORATE DR STE 201
FREDERICK, MD 21703

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 Kenny Chen's NPI number?

The NPI number for Kenny Chen is 1861902959. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Kenny Chen located?

Kenny Chen practices at 5283 Corporate Dr Ste 201, Frederick, MD 21703. The listed phone number is (301) 622-4545.

What is Kenny Chen's specialty?

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

Is Kenny Chen enrolled in Medicare?

Yes. Kenny 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.

Which organizations bill Medicare for Kenny Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenny Chen reassigns Medicare benefits to 2 organizations: Myeyedr Optometry Of Maryland, LLC (Frederick, MD) and The Retina Group Of Washington, PLLC (Greenbelt, MD). Each 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 Kenny Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenny Chen 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 1 other insurer list Kenny 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 Kenny Chen was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.