DR. JOLENE CHANG RUDELL (M.D., PH.D.) – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1144539305
Pediatric Ophthalmology and Strabismus Specialist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,668 OPHTHALMOLOGY in CA
Provider Addresses for DR. JOLENE CHANG RUDELL (M.D., PH.D.)
PO BOX 232410
SAN DIEGO, CA 921932410
Phone:
Type: Mailing
200 W ARBOR DR
SAN DIEGO, CA 921039000
Phone: (800) 926-8273
Fax: (888) 539-8781
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-15
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191015001115 | I | Ophthalmology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92060 | Exam to measure eye deviation and range of motion | 57 | 41 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 43 | 31 | $0 |
Insurance plans in this area (ZIP 92193)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | CA | |
| - | CA | |
| Surgical Oncology, General Surgery | MI | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Emergency Medicine, Medical Toxicology | CA |
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