JORDAN M CHILLA (OD) – Optometrist, NPI 1174019962

JORDAN M CHILLA (OD) is a healthcare provider. based in Kennett square, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG003411 (PA). The NPI Number for JORDAN M CHILLA (OD) is 1174019962

Main info

Female
8 Years Of Experience
Name
JORDAN M CHILLA (OD)
NPI
1174019962
Phone
(484) 770-8132
Address
402 BAYARD RD STE 200
Enumeration Date
5 July 2018
Last Update Date
16 March 2020

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
4847708132
Graduation Year
2018 (8 years ago)
PAC ID
6507114733
Group Practice PAC ID
8921153503
Professional Enrollment ID
I20180806000152
Address ID
PA193481862KE402XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

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Provider Addresses for JORDAN M CHILLA (OD)

  • Bayard Road, Kennett Township, Chester County, Pennsylvania, 19340, United States

    KENNETT SQUARE, PA 193481862

    Phone: (484) 770-8132

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($23).

Total Amount

$51

General + Research + Ownership

Payments

3

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

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: 2018-08-06

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
I20180806000152IOptometryPATBD

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
92250Photography of the retina9997$0
99213Established patient office or other outpatient visit, 20-29 minutes7571$0
99203New patient office or other outpatient visit, 30-44 minutes3333$0
99212Established patient office or other outpatient visit, 10-19 minutes1412$0
92133Imaging of optic nerve1111$0
View full utilization report →

Insurance plans in this area (ZIP 19348)

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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: 8921153503View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

What is JORDAN M CHILLA (OD)'s NPI number?
JORDAN M CHILLA (OD)'s NPI is 1174019962 — the number used across U.S. healthcare to identify this provider.
Is JORDAN M CHILLA (OD) still an active registrant?
JORDAN M CHILLA (OD) carries an active NPI according to the public dataset.
What area of care is associated with JORDAN M CHILLA (OD)?
JORDAN M CHILLA (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is JORDAN M CHILLA (OD) associated with Kennett Square?
Public fields place JORDAN M CHILLA (OD) around Kennett Square, Pennsylvania. Always confirm the exact site before visiting.
Can I trust this NPI listing for JORDAN M CHILLA (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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