DR. DARREN WINSTON HILBURN O.D.
NPI 1043211709
Optometrist in Apex, NC

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
1049 BEAVER CREEK COMMONS DR, APEX, NC 27502(919) 367-7889(919) 249-4079 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Darren Winston Hilburn O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DARREN WINSTON HILBURN O.D. (NPI 1043211709) is an individual optometrist in Apex, North Carolina, licensed in North Carolina (1862) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2001).

NPPES Registry Identity

NPI1043211709
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DARREN WINSTON HILBURNCredential: O.D.
Location Address1049 BEAVER CREEK COMMONS DRApex, NC 27502-3918
Mailing Address1049 Beaver Creek Commons DrApex, NC 27502-3918 · (919) 367-7889 · Fax (919) 249-4079
Fax(919) 249-4079
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2001
Enumeration DateAugust 3, 2005
Last NPPES UpdateApril 29, 2010
NPI 1043211709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NC · 1862
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1049 BEAVER CREEK COMMONS DR, Apex, NC 27502

Other Identifiers 11

Other093M9NC · Bcbs
Medicare ID-Type Unspecified2472580NC
Other2102833NC · Optimum Choice Of The Car
Other2102833NC · Mamsi
Medicaid89093M9NC
Other25778NC · Opticare
Other2200448NC · United Healthcare
Other803187NC · Community Eyecare
Medicare PIN2472580ANC
Medicare PIN2472580BNC
Medicare UPINU94389NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Darren Winston Hilburn O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608924089
PECOS Enrollment IDI20090423000696
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,958 services14 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
146 services145 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services69 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
30 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services27 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1049 BEAVER CREEK COMMONS DR
APEX, NC 27502
Optometrist
1049 BEAVER CREEK COMMONS DR
APEX, NC 27502
Optometrist
1049 BEAVER CREEK COMMONS DR
APEX, NC 27502
Optometrist
1049 BEAVER CREEK COMMONS DR
APEX, NC 27502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darren Hilburn's NPI number?

The NPI number for Darren Hilburn is 1043211709. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Darren Hilburn located?

Darren Hilburn practices at 1049 Beaver Creek Commons Dr, Apex, NC 27502. The listed phone number is (919) 367-7889.

What is Darren Hilburn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Darren Hilburn enrolled in Medicare?

Yes. Darren Hilburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Darren Hilburn accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 4 other insurers list Darren Hilburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Darren Hilburn was last updated on April 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.