DR. HIRAL P PATEL OD
NPI 1609494004
Optometrist in Concord, NC
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
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Hiral Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gastonia, NC 28056
- Reassigned Medicare billing, North Carolina enrollment
- 20 clinicians in this Medicare group
Charlotte, NC 28277
- Reassigned Medicare billing, North Carolina enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Hiral Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hiral Patel reassigns Medicare benefits to 2 organizations: Accuvision Eye Care Od, PA (Gastonia, NC) and Hiral P Patel Od (Charlotte, NC). Each 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 Hiral Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hiral Patel 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 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.