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

DR. HITEN P PRAJAPATI O.D.
NPI 1902007131
Optometrist - Corneal and Contact Management in Morrisville, NC

Active since May 28, 2007PECOS EnrolledAccepts Medicare Assignment
1216 VILLAGE MARKET PL, MORRISVILLE, NC 27560(919) 459-5995(877) 719-7690 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Mar 7, 2023, Aug 16, 2016 (3 updates tracked since 2016).

About Dr. Hiten P Prajapati O.d. NPPES

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

DR. HITEN P PRAJAPATI O.D. (NPI 1902007131) is an individual corneal and contact management provider in Morrisville, North Carolina, licensed in North Carolina (1964) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2003).

NPPES Registry Identity

NPI1902007131
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. HITEN P PRAJAPATICredential: O.D.
Location Address1216 VILLAGE MARKET PLMorrisville, NC 27560-7508
Mailing Address1216 Village Market PlMorrisville, NC 27560-7508 · (919) 459-5995 · Fax (877) 719-7690
Fax(877) 719-7690
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2003
Enumeration DateMay 28, 2007
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1902007131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in NC · 1964
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
1216 VILLAGE MARKET PL, Morrisville, NC 27560

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. Hiten P Prajapati 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 ID1153497599
PECOS Enrollment IDI20080908000583
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 Hiten Prajapati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
1200 VILLAGE MARKET PLACE
Morrisville, NC 27560
  • 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.

Areas of Expertise CMS Part B claims

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.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27560 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.

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 Hiten Prajapati's NPI number?

The NPI number for Hiten Prajapati is 1902007131. It was assigned to this individual provider in the NPPES registry on May 28, 2007.

Where is Hiten Prajapati located?

Hiten Prajapati practices at 1216 Village Market Pl, Morrisville, NC 27560. The listed phone number is (919) 459-5995.

What is Hiten Prajapati's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Hiten Prajapati enrolled in Medicare?

Yes. Hiten Prajapati 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 Hiten Prajapati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiten Prajapati reassigns Medicare benefits to Triangle Family Eye Care Od, PLLC (Morrisville, 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 Hiten Prajapati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiten Prajapati 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 and 10 other insurers list Hiten Prajapati 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 Hiten Prajapati was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.