DR. HIRAL P PATEL OD
NPI 1609494004
Optometrist in Concord, NC

Active since July 12, 2020PECOS EnrolledAccepts Medicare Assignment
6150 BAYFIELD PKWY, CONCORD, NC 28027(704) 795-4225 Get Directions Write a Review

NPPES record last updated: May 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2021, Apr 7, 2021, Mar 31, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Hiral P Patel Od NPPES

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

DR. HIRAL P PATEL OD (NPI 1609494004) is an individual optometrist in Concord, North Carolina, licensed in North Carolina (2623) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609494004
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. HIRAL P PATELCredential: OD
Location Address6150 BAYFIELD PKWYConcord, NC 28027-7486
Mailing Address7616 Saddle Trail LnCharlotte, NC 28269-6143
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 12, 2020
Last NPPES UpdateMay 23, 20214 updates tracked since enumeration
NPPES CertifiedMay 23, 2021
NPI 1609494004 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 · 2623
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.
6150 BAYFIELD PKWY, Concord, NC 28027

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

Dr. Hiral P Patel 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 ID941739577
PECOS Enrollment IDI20250128002821
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28027 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 9

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

Nurse Practitioner (Family)
6150 BAYFIELD PKWY
CONCORD, NC 28027
Nurse Practitioner (Family)
6150 BAYFIELD PKWY
CONCORD, NC 28027
Nurse Practitioner (Family)
6150 BAYFIELD PKWY
CONCORD, NC 28027
Eyewear Supplier
6150 BAYFIELD PKWY
CONCORD, NC 28027
Pharmacist
6150 BAYFIELD PKWY
CONCORD, NC 28027
Pharmacist
6150 BAYFIELD PKWY
CONCORD, NC 28027
Nurse Practitioner (Family)
6150 BAYFIELD PKWY
CONCORD, NC 28027
Pharmacist
6150 BAYFIELD PKWY
CONCORD, NC 28027

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 Hiral Patel's NPI number?

The NPI number for Hiral Patel is 1609494004. It was assigned to this individual provider in the NPPES registry on July 12, 2020.

Where is Hiral Patel located?

Hiral Patel practices at 6150 Bayfield Pkwy, Concord, NC 28027. The listed phone number is (704) 795-4225.

What is Hiral Patel's specialty?

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

Is Hiral Patel enrolled in Medicare?

Yes. Hiral Patel 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 Hiral Patel 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 2 other insurers list Hiral Patel 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 Hiral Patel was last updated on May 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.