SAMANTHA PRABAKARAN MD
NPI 1164047122
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Raleigh, NC
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Prabakaran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: New Century Ophthalmology PC
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCPhysician 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.
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.
Which organization bills Medicare for Samantha Prabakaran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Prabakaran reassigns Medicare benefits to Blue Ridge Day Surgery Center, LP (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Prabakaran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Prabakaran accept?
Health plans from Anthem Blue Cross and Blue Shield, 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.
# Samantha Prabakaran, MD · NPI 1164047122
Ophthalmic Plastic and Reconstructive Surgery physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since June 15, 2020.
## Identity
- **NPI:** 1164047122 (Entity type: Individual)
- **Enumerated:** June 15, 2020
- **Primary specialty:** Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery · taxonomy 207WX0200X
- **State license:** 0116034573 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 7901 ACC BLVD STE 200, Raleigh, NC 27617-4730
- **Phone:** (919) 861-4494
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Blue Ridge Day Surgery Center, LP (NPI 1073578019, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Central Florida, College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164047122) · Data from the CMS NPPES public registry.