DARRELL E HESTER MD
NPI 1134210586
Ophthalmology in Wilmington, NC

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
98.98/100
CMS Quality Rating
1915 S 17TH ST STE 101, WILMINGTON, NC 28401(910) 251-8200(910) 251-8204 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Darrell E Hester Md NPPES

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

DARRELL E HESTER MD (NPI 1134210586) is an individual ophthalmology provider in Wilmington, North Carolina, licensed in North Carolina (34349) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Healthcare System, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1987).

NPPES Registry Identity

NPI1134210586
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDARRELL E HESTERCredential: MD
Location Address1915 S 17TH ST STE 101Wilmington, NC 28401-6682
Mailing Address1915 S 17th St Ste 101Wilmington, NC 28401-6682 · (910) 251-8200 · Fax (910) 251-8204
Fax(910) 251-8204
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1987
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJanuary 7, 2015
NPI 1134210586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 34349
Definition
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.
1915 S 17TH ST STE 101, Wilmington, NC 28401

Other Identifiers 2

Medicare PINNCF423C976NC
Medicaid1134210586NC

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

Darrell E Hester Md 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 ID8921034331
PECOS Enrollment IDI20120229000500
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 16

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.

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.
598 services581 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.
214 services174 patients
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.
177 services118 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
175 services123 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
121 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
103 services103 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC
OwnershipGovernment - Local
CMS Certification Number341307
Location507 E Fremont StBurgaw, NC 28425 · Pender County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.45
Improvement Activities40
Cost100

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%161 patients
Diabetes: Eye Exam
86%185 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,864 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%1,550 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
68%98 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
87%98 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
97%97 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,587 patients
Patients totalRate: 0% · 1,587 patients
0%1,587 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Ophthalmology
1915 S 17TH ST STE 101
WILMINGTON, NC 28401
Ophthalmology
1915 S 17TH ST STE 101
WILMINGTON, NC 28401
Ophthalmology
1915 S 17TH ST STE 101
WILMINGTON, NC 28401

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 Darrell Hester's NPI number?

The NPI number for Darrell Hester is 1134210586. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Darrell Hester located?

Darrell Hester practices at 1915 S 17th St Ste 101, Wilmington, NC 28401. The listed phone number is (910) 251-8200.

What is Darrell Hester's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Darrell Hester enrolled in Medicare?

Yes. Darrell Hester 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 Darrell Hester accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Darrell Hester 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.

Is Darrell Hester affiliated with any hospitals?

According to CMS data, Darrell Hester is affiliated with Columbus Regional Healthcare System and Pender Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Darrell Hester was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.