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

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
1201 RALEIGH RD, CHAPEL HILL, NC 27517(919) 942-3320(919) 942-7268 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Chapel Hill, North Carolina, licensed in North Carolina (1279) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS 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 Address1201 RALEIGH RDChapel Hill, NC 27517-4047
Mailing Address7100 Six Forks Rd, Suite 301Raleigh, NC 27615-6156 · (919) 847-0187 · Fax (919) 676-2231
Fax(919) 942-7268
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1987
Enumeration DateMay 2, 2006
Last NPPES UpdateNovember 13, 2017
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.

1201 RALEIGH RD, Chapel Hill, NC 27517

Other Identifiers 4

Other093E8NC · Blue Cross Blue Shield
OtherP00791295NC · Railroad Medicare
Medicaid89093E8NC
Medicare PIN246641CNC

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

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.

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 27517 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.

Dentist
1201 RALEIGH RD, SUITE 200, LENNOX BUILDING
CHAPEL HILL, NC 27517
Optometrist
1201 RALEIGH RD, SUITE E
CHAPEL HILL, NC 27517
Dentist (General Practice)
1201 RALEIGH RD, SUITE 200
CHAPEL HILL, NC 27517
Optometrist
1201 RALEIGH RD
CHAPEL HILL, NC 27517

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 1201 Raleigh Rd, Chapel Hill, NC 27517. The listed phone number is (919) 942-3320.

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.

What insurance does Donna Hillsgrove accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 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 November 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.