Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DONNA E HILLSGROVE O.D.
NPI 1194783811
Optometrist in Durham, NC

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
3101 SHANNON RD, DURHAM, NC 27707(919) 493-8508(919) 493-6153 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Nov 13, 2017 (2 updates tracked since 2017).

About Donna E Hillsgrove O.d. NPPES

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

DONNA E HILLSGROVE O.D. (NPI 1194783811) is an individual optometrist in Durham, North Carolina, licensed in North Carolina (1279) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chapel Hill, and is a graduate of University Alabama Birmingham - School Of Optometry (1987).

NPPES Registry Identity

NPI1194783811
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDONNA E HILLSGROVECredential: O.D.
Location Address3101 SHANNON RDDurham, NC 27707-3571
Mailing Address7100 Six Forks Rd, Suite 301Raleigh, NC 27615-6156 · (919) 847-0187 · Fax (919) 676-2231
Fax(919) 493-6153
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1987
Enumeration DateMay 2, 2006
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1194783811 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 · 1279
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.
3101 SHANNON RD, Durham, NC 27707

Secondary Practice Location 1

Location 11201 Raleigh RdChapel Hill, NC 27517-4047 · Phone (919) 942-3320 · Fax (919) 942-7268

Other Identifiers 3

Medicaid89093E8NC
OtherP00791295NC · Railroad Medicare
Other093E8NC · Blue Cross Blue Shield

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

Donna E Hillsgrove 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 ID5597851337
PECOS Enrollment IDI20071010000160
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.

Medicare Billing Reassignment

Medicare enrollment records show Donna Hillsgrove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
3101 SHANNON RD
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 259 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.

Areas of Expertise CMS Part B claims 2

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 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.
20 services20 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27707 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 7

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

Optometrist
3101 SHANNON RD
DURHAM, NC 27707
Optometrist
3101 SHANNON RD
DURHAM, NC 27707
Optometrist
3101 SHANNON RD
DURHAM, NC 27707
Point of Service
3101 SHANNON RD
DURHAM, NC 27707
Optometrist
3101 SHANNON RD
DURHAM, NC 27707
Optometrist
3101 SHANNON RD
DURHAM, NC 27707
Optometrist
3101 SHANNON RD
DURHAM, NC 27707

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 Donna Hillsgrove's NPI number?

The NPI number for Donna Hillsgrove is 1194783811. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Donna Hillsgrove located?

Donna Hillsgrove practices at 3101 Shannon Rd, Durham, NC 27707. The listed phone number is (919) 493-8508.

What is Donna Hillsgrove's specialty?

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

Is Donna Hillsgrove enrolled in Medicare?

Yes. Donna Hillsgrove 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 Donna Hillsgrove's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Hillsgrove reassigns Medicare benefits to Myeyedr Optometry Of North Carolina, PLLC (Durham, 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 Donna Hillsgrove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Hillsgrove accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 12 other insurers list Donna Hillsgrove 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 Donna Hillsgrove was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.