CLEMENT JACKSON CHENG (MD) – Ophthalmology Physician, NPI 1629065826

CLEMENT JACKSON CHENG (MD) is a healthcare provider. based in Santa cruz, California. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. A89628 (CA). The NPI Number for CLEMENT JACKSON CHENG (MD) is 1629065826

Main info

Male
Sole Proprietor
26 Years Of Experience
Name
CLEMENT JACKSON CHENG (MD)
NPI
1629065826
Phone
(831) 475-7012
Address
1665 DOMINICAN WAY
Enumeration Date
3 October 2005
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8314757012
Graduation Year
2000 (26 years ago)
PAC ID
2668448689
Group Practice PAC ID
4486621745
Professional Enrollment ID
I20050816000376
Address ID
CA950651528SA1665XWAYX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,665 OPHTHALMOLOGY in CA

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Provider Addresses for CLEMENT JACKSON CHENG (MD)

  • 1665, Dominican Way, Live Oak, Santa Cruz County, California, 95065, United States

    SUITE 124

    SANTA CRUZ, CA 950651528

    Phone: (831) 475-7012

    Fax: (831) 475-1512

    Type: Location

  • 1665 Dominican Way

    Suite 124

    Santa Cruz, CA 950651528

    Phone: (831) 475-7012

    Fax: (831) 475-1512

    Type: Location

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $598.

Total Amount is formed as General ($598) + Research ($0) + Ownership ($0) = $598.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Alcon Vision LLC ($368).

Total Amount

$598

General + Research + Ownership

Payments

6

Total payment records

General Amount

$598

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-08-16

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050816000376IOphthalmologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system1,459836$0
92014Established patient complete exam of visual system694693$0
92136Measurement of corneal curvature and depth of eye335147$0
66984Removal of cataract with insertion of prosthetic lens230137$0
92004New patient complete exam of visual system188188$0
View full utilization report →

Insurance plans in this area (ZIP 95065)

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Provider's Procedures

CLEMENT JACKSON CHENG (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCA92012Eye and medical examination for diagnosis and treatment, established patient1380720

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486621745View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

Can I verify CLEMENT JACKSON CHENG (MD) with an NPI only?
You can start verification with NPI 1629065826 for CLEMENT JACKSON CHENG (MD), then check state licensing separately.
Is CLEMENT JACKSON CHENG (MD) still practicing?
CLEMENT JACKSON CHENG (MD) is currently listed as active in the public NPI registry.
What is CLEMENT JACKSON CHENG (MD)'s primary classification?
Ophthalmology Physician is the headline specialty for CLEMENT JACKSON CHENG (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect CLEMENT JACKSON CHENG (MD) on a map?
Expect Santa Cruz, California as a primary anchor for CLEMENT JACKSON CHENG (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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