DR. KEN E GANLY (OD) – Optometrist, NPI 1609871763

DR. KEN E GANLY (OD) is a healthcare provider. based in Kennett square, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG-000362 (PA). The NPI Number for DR. KEN E GANLY (OD) is 1609871763

Main info

Male
33 Years Of Experience
Name
DR. KEN E GANLY (OD)
NPI
1609871763
Phone
(484) 770-8132
Address
402 BAYARD RD
Enumeration Date
16 June 2005
Last Update Date
12 April 2024

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
4847708132
Graduation Year
1993 (33 years ago)
PAC ID
8325943335
Group Practice PAC ID
8921153503
Professional Enrollment ID
I20090903000106
Address ID
PA193481862KE402XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

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Provider Addresses for DR. KEN E GANLY (OD)

  • 402, Bayard Road, East Marlborough Township, Chester County, Pennsylvania, 19348, United States

    SUITE 200

    KENNETT SQUARE, PA 193481862

    Phone: (484) 770-8132

    Fax: (484) 770-8136

    Type: Location

  • 109 HILLSIDE LN

    KENNETT SQUARE, PA 193482267

    Phone: (484) 678-7276

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $690.

Total Amount is formed as General ($690) + Research ($0) + Ownership ($0) = $690.

Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Alcon Vision LLC ($389).

Total Amount

$690

General + Research + Ownership

Payments

9

Total payment records

General Amount

$690

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-28

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: 2009-09-03

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
I20090903000106IOptometryPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7167$0
99213Established patient office or other outpatient visit, 20-29 minutes5641$0
92250Photography of the retina5150$0
92083Exam of visual field with extended testing2619$0
92012Established patient problem focused exam of visual system2525$0
View full utilization report →

Insurance plans in this area (ZIP 19348)

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Provider's Procedures

DR. KEN E GANLY (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYPA92012Eye and medical examination for diagnosis and treatment, established patient5555

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

Where can patients find DR. KEN E GANLY (OD)'s NPI?
You can confirm DR. KEN E GANLY (OD) with NPI 1609871763; it appears in the national provider directory.
Is DR. KEN E GANLY (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KEN E GANLY (OD)?
The page reflects Optometrist for DR. KEN E GANLY (OD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KEN E GANLY (OD)?
The snapshot lists Kennett Square, Pennsylvania for DR. KEN E GANLY (OD); download NPPES for the complete set.
What if Kennett Square, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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