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DR. PAUL BRADFORD HEARN OD
NPI 1437708393
Optometrist in Huntersville, NC

Active since September 04, 2019PECOS EnrolledAccepts Medicare Assignment
16525 BIRKDALE COMMONS PKWY, HUNTERSVILLE, NC 28078(704) 896-3311(704) 896-5514 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Bradford Hearn Od NPPES

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

DR. PAUL BRADFORD HEARN OD (NPI 1437708393) is an individual optometrist in Huntersville, North Carolina, licensed in North Carolina (NC2572) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437708393
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL BRADFORD HEARNCredential: OD
Location Address16525 BIRKDALE COMMONS PKWYHuntersville, NC 28078-3802
Mailing Address16525 Birkdale Commons PkwyHuntersville, NC 28078-3802 · (704) 896-3311 · Fax (704) 896-5514
Phone(704) 896-3311
Fax(704) 896-5514
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 4, 2019
✔ NPI 1437708393 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 · NC2572
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.
16525 BIRKDALE COMMONS PKWY, Huntersville, NC 28078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Dr. Paul Bradford Hearn Od 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 ID8325479769
PECOS Enrollment IDI20200519000853
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 5

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.
54 services54 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.
52 services32 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.
19 services19 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
16 services13 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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 3

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

DR. JULIANNE PRETTYMAN COLVIN D.D.S
Dentist (General Practice)
16525 BIRKDALE COMMONS PKWY, SUITE 300
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 895-5850
DR. PAUL BRADFORD HEARN O.D.
Optometrist
16525 BIRKDALE COMMONS PKWY, SUITE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 896-3311
ALEXA RAWLINGS LUPFER OD
Optometrist
16525 BIRKDALE COMMONS PKWY, SUITE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 896-3311

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 Paul Hearn's NPI number?

The NPI number for Paul Hearn is 1437708393. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Paul Hearn located?

Paul Hearn practices at 16525 Birkdale Commons Pkwy, Huntersville, NC 28078. The listed phone number is (704) 896-3311.

What is Paul Hearn's specialty?

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

Is Paul Hearn enrolled in Medicare?

Yes. Paul Hearn 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 Paul Hearn accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 4 other insurers list Paul Hearn 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 Paul Hearn was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.