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JANNA PRATER M.D.
NPI 1003129685
Internal Medicine - Endocrinology, Diabetes & Metabolism in Philadelphia, PA

Active since July 23, 2010PECOS EnrolledAccepts Medicare Assignment
9880 BUSTLETON AVE, SUITE 220, PHILADELPHIA, PA 19115(215) 827-1500(215) 827-1501 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janna Prater M.d. NPPES

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

JANNA PRATER M.D. (NPI 1003129685) is an individual endocrinology, diabetes & metabolism provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD449225) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1003129685
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameJANNA PRATERCredential: M.D.
Location Address9880 BUSTLETON AVE, SUITE 220Philadelphia, PA 19115-2185
Mailing Address9880 Bustleton Ave, Suite 220Philadelphia, PA 19115-2185 · (215) 827-1500 · Fax (215) 827-1501
Phone(215) 827-1500
Fax(215) 827-1501
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 23, 2010
Last NPPES UpdateJuly 31, 2015
✔ NPI 1003129685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD449225
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
9880 BUSTLETON AVE, Philadelphia, PA 19115
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Other Names 1

Former Name (1)Zhanna Prater

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Janna Prater M.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 ID6901118165
PECOS Enrollment IDI20150701001654
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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
537 services326 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
250 services71 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
100 services55 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
84 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19115 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers277 claims479 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
23 suppliers122 claims131 services$1.08 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
6 suppliers14 claims28 services$58.66 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
6 suppliers14 claims84 services$24.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers312 claims312 services$193.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

LISA K. JABLON M.D.
Surgery (Surgical Critical Care)
9880 BUSTLETON AVE, SUITE 205
PHILADELPHIA, PA 19115
Philadelphia County (215) 676-2222
DR. IRENE J. TAN M.D.
Internal Medicine (Rheumatology)
9880 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (215) 827-1500
CRAIG OLINER MD
Internal Medicine (Cardiovascular Disease)
9880 BUSTLETON AVE, STE 220
PHILADELPHIA, PA 19115
Philadelphia County (215) 827-1500
DR. ROBERT A LEVINE DDS, PC
Dentist (Periodontics)
9880 BUSTLETON AVE, SUITE 211-212
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-8686
GHM UROLOGY
Urology
9880 BUSTLETON AVE, SUITE 311
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-0667
MRS. KSENIA SMIRNOV CRNP
Nurse Practitioner (Adult Health)
9880 BUSTLETON AVE, SUITE 208
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-0667
PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS, LLC
Dentist (Periodontics)
9880 BUSTLETON AVE, SUITE 211-212
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-8686
PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS
Dentist (Periodontics)
9880 BUSTLETON AVE, #211-212
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-8686

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 Janna Prater's NPI number?

The NPI number for Janna Prater is 1003129685. It was assigned to this individual provider in the NPPES registry on July 23, 2010. The provider is also known as Zhanna Prater.

Where is Janna Prater located?

Janna Prater practices at 9880 Bustleton Ave Suite 220, Philadelphia, PA 19115. The listed phone number is (215) 827-1500.

What is Janna Prater's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Janna Prater enrolled in Medicare?

Yes. Janna Prater 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 Janna Prater accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Janna Prater 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.

Is Janna Prater affiliated with any hospitals?

According to CMS data, Janna Prater is affiliated with Albert Einstein Medical Center, Thomas Jefferson University Hospital and Nazareth Hospital.

When was this NPI record last updated?

The NPPES record for Janna Prater was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.