Active NPI
Jon Caleb Hildebrand, MD
- Ophthalmology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 59280
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2158 Northgate Park Lane
Suite 302
Chattanooga, TN 37415-6959
Phone (423) 870-4900
Hospital & facility affiliations
- Erlanger Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.56 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.53
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 254 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59280 | TN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Vision Center, PLC | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Chattanooga, TN
- NPI 1982679296
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.