Individual provider Active NPI

Jon Caleb Hildebrand, MD

  • Ophthalmology Physician
  • Chattanooga, TN
National Provider Identifier
1457748501
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
59280 Issued in TN
Practice address
2158 Northgate Park LN Ste 302
Chattanooga, TN 37415
Phone
(423) 870-4900
NPI assigned
Apr 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 59280 TN Primary

Addresses

Primary practice location

2158 Northgate Park LN Ste 302
Chattanooga, TN 37415

Mailing address

884 Danbury Cove PL
Signal Mountain, TN 37377-1777
Phone (423) 504-1337

Other practice location 1

910 Madison Ave
Suite 1031
Memphis, TN 38103-3403
Phone (901) 448-5364

Other practice location 2

1042 E 3rd St Ste 102
Chattanooga, TN 37403-2167
Phone (423) 265-1651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626003346 TN Practitioner - Ophthalmology 4587985601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
East Tennessee State University Quillen College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Vision Center, PLCGroup PAC ID 1456336551, 4 clinicians

Practice addresses (Care Compare)

2158 Northgate Park Lane
Suite 302
Chattanooga, TN 37415-6959
Phone (423) 870-4900

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
93.56 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59280TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Vision Center, PLC Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients

Locations

2158 Northgate Park Ln
Ste 302
Chattanooga, TN 37415
Phone (423) 870-4900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1457748501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 DANBURY COVE PL",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373771777",
            "telephone_number": "423-504-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN STE 302",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37415",
            "telephone_number": "423-870-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Madison Ave",
            "address_2": "Suite 1031",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033403",
            "country_code": "US",
            "telephone_number": "901-448-5364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1042 E 3rd St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032167",
            "country_code": "US",
            "telephone_number": "423-265-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "JON",
        "middle_name": "CALEB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "59280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.