SAMANTHA PRABAKARAN MD
NPI 1164047122
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Raleigh, NC

Active since June 15, 2020PECOS EnrolledAccepts Medicare Assignment
7901 ACC BLVD STE 200, RALEIGH, NC 27617(919) 861-4494 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Jun 15, 2020 (2 updates tracked since 2020).

About Samantha Prabakaran Md NPPES

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

SAMANTHA PRABAKARAN MD (NPI 1164047122) is an individual ophthalmic plastic and reconstructive surgery provider in Raleigh, North Carolina, licensed in Virginia (0116034573) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Granville Health Systems, and is a graduate of Univ Of Central Florida, College Of Medicine (2020).

NPPES Registry Identity

NPI1164047122
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameSAMANTHA PRABAKARANCredential: MD
Location Address7901 ACC BLVD STE 200Raleigh, NC 27617-4730
Mailing Address7901 Acc Blvd Ste 200Raleigh, NC 27617-4730
Sole ProprietorNo
Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2020
Enumeration DateJune 15, 2020
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
NPI 1164047122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in VA · 0116034573
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
7901 ACC BLVD STE 200, Raleigh, NC 27617

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

Samantha Prabakaran 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 ID1557892502
PECOS Enrollment IDI20241002001119
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.

Hospital Affiliations CMS Care Compare

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

Granville Health Systems

Acute Care Hospitals · Oxford, NC
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340127
Location1010 College StOxford, NC 27565 · Granville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27617 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.

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 Samantha Prabakaran's NPI number?

The NPI number for Samantha Prabakaran is 1164047122. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Samantha Prabakaran located?

Samantha Prabakaran practices at 7901 Acc Blvd Ste 200, Raleigh, NC 27617. The listed phone number is (919) 861-4494.

What is Samantha Prabakaran's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Samantha Prabakaran enrolled in Medicare?

Yes. Samantha Prabakaran 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 Samantha Prabakaran accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Samantha Prabakaran 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 Samantha Prabakaran affiliated with any hospitals?

According to CMS data, Samantha Prabakaran is affiliated with Granville Health Systems.

When was this NPI record last updated?

The NPPES record for Samantha Prabakaran was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.