ANDREW PHILIP CHEN M.D.
NPI 1912014739
Ophthalmology in Lodi, CA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
521 S HAM LN, SUITE A, LODI, CA 95242(209) 334-5886(209) 334-5281 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew Philip Chen M.d. NPPES

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

ANDREW PHILIP CHEN M.D. (NPI 1912014739) is an individual ophthalmology provider in Lodi, California, licensed in California (G72858) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1990).

NPPES Registry Identity

NPI1912014739
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameANDREW PHILIP CHENCredential: M.D.
Location Address521 S HAM LN, SUITE ALodi, CA 95242-3528
Mailing Address521 S Ham Ln, Suite ALodi, CA 95242-3528 · (209) 334-5886 · Fax (209) 334-5281
Fax(209) 334-5281
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1990
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
NPI 1912014739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G72858
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.

521 S HAM LN, Lodi, CA 95242

Other Identifiers 1

Medicaid00G728580CA

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

Andrew Philip 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 ID8224014196
PECOS Enrollment IDI20080520000917
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 22

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.
1,150 services1,132 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
1,050 services760 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.
969 services606 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.
818 services379 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
516 services60 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.
493 services470 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95242 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers28 claims28 services$63.52 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
2 suppliers11 claims21 services$63.56 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 4

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

Ophthalmology
521 S HAM LN, SUITE A
LODI, CA 95242
Optometrist
521 S HAM LN
LODI, CA 95242
Ophthalmology
521 S HAM LN, SUITE A
LODI, CA 95242
Clinic/Center (Ambulatory Surgical)
521 S HAM LN, SUITE F
LODI, CA 95242

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 Andrew Chen's NPI number?

The NPI number for Andrew Chen is 1912014739. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Andrew Chen located?

Andrew Chen practices at 521 S Ham Ln Suite A, Lodi, CA 95242. The listed phone number is (209) 334-5886.

What is Andrew Chen's specialty?

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

Is Andrew Chen enrolled in Medicare?

Yes. Andrew 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 Andrew Chen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Andrew 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 Andrew Chen was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.