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Dr. Yanjun Chen , MD

Ophthalmology โ€ข Madison, WI

Active NPI 1235332867 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2880 University Ave
Madison, WI 537053644

Call 6082637171 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2880 University Ave

Madison, WI 537053644

Telephone 6082637171
Fax 6082658060
Organization at the Same NPPES Address or Phone
University Of Wisconsin Medical Foundation Inc Facility NPI 1043271034

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: University Of Wisconsin Medical Foundation Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1994

Medicare patients

191 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $30,934 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $22,899 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

55 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,218 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $74.61 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

32 years (graduated 1994)

CMS Doctors and Clinicians data list 1994 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Chen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Chen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Madison and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Ophthalmology in Madison, WI (2024, 51 clinicians with data). Median for this group: 1,616. Middle half: 550 to 2,613.

Fewer Medicare Part B services than 80% of clinicians listed under Ophthalmology in Wisconsin (2024, 249 clinicians with data). Median for this group: 1,563. Middle half: 755 to 2,396.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Ophthalmology in Madison, WI (2024, 51 clinicians with data). Median for this group: $168,221. Middle half: $62,288 to $334,722.

A lower Medicare-allowed amount than 85% of clinicians listed under Ophthalmology in Wisconsin (2024, 249 clinicians with data). Median for this group: $177,576. Middle half: $72,724 to $293,146.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Ophthalmology in Madison, WI (2024, 51 clinicians with data). Median for this group: $124,181. Middle half: $46,646 to $244,371.

A lower Medicare payment amount than 85% of clinicians listed under Ophthalmology in Wisconsin (2024, 249 clinicians with data). Median for this group: $130,282. Middle half: $53,426 to $214,805.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Chen are from 2023.

89 active clinicians are listed under Ophthalmology with a practice address in Madison, WI (441 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Madison

4.5% of these 89 clinicians have the CMS telehealth indicator.

64% of these 89 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $74.61.

Manufacturer Payment Nature Product Type Amount ($)
Amgen Inc.
Food and Beverage
In-kind items and services
UPLIZNA General $74.61

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
92083 Exam of visual field with extended testing
134 113 $139.07 $26.01
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
82 66 $35.00 $15.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
69 69 $535.00 $122.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
60 53 $343.00 $90.37
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
59 56 $234.00 $61.18
92133 Imaging of optic nerve
58 47 $133.00 $20.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
42 39 $502.00 $133.62
92060 Exam to measure eye deviation and range of motion
29 23 $135.00 $34.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $359.00 $73.19

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gabapentin Gabapentin 16 763 $193.40 โ€”
Pentoxifylline Pentoxifylline 13 360 $320.73 โ€”
Apraclonidine Hcl Apraclonidine Hcl 13 407 $703.90 โ€”

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-31
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

License # reported to NPPES WI 56541

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPHTHALMOLOGY

Medicare Enrollment ID

I20120117000841

Enrollment State Jurisdiction

WI

PECOS Control ID

3476605601

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

University Of Wisconsin Medical Foundation Inc

2880 University Ave, Madison, WI 537053644

Phone: 6082639339

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

32 listed
NPI 1700853876

Doctor of Medicine (M.D.)

Dara Baker

Ophthalmology

NPI 1689255663
NPI 1548236839

Doctor of Medicine (M.D.)

NPI 1073589545

Doctor of Medicine (M.D.)

Dr. Cathy Burkat , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1386610871

Doctor of Medicine (M.D.)

NPI 1013204163

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History

NPI enumerated June 10, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1235332867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2007
Last Update: March 31, 2021
Sole Proprietor: No

Other Ophthalmology Specialists in Madison

All Ophthalmology Specialists in Madison

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.