ANTHONY J GARCIA-PRATS MD
NPI 1003996356
Pediatrics in Madison, WI

Q: What is Anthony Garcia-prats's NPI number?

The NPI number for Anthony Garcia-prats is 1003996356. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Anthony Garcia-prats's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 17, 2006PECOS Enrolled

2880 UNIVERSITY AVE, MADISON, WI 53705(608) 263-6421 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2021, Aug 20, 2019 (2 updates tracked since 2019).

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About Anthony J Garcia-prats Md NPPES

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

ANTHONY J GARCIA-PRATS MD (NPI 1003996356) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (71400) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003996356

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameANTHONY J GARCIA-PRATSCredential: MD

Location Address2880 UNIVERSITY AVEMadison, WI 53705-3644

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-6421

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateJanuary 21, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2021

✔ NPI 1003996356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WI · 71400✔ Licensed in TX · M1694

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2880 UNIVERSITY AVE, Madison, WI 53705

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Other Identifiers 1

Medicaid175599302TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony J Garcia-prats Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 53705 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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Other Providers at the Same Location NPPES 20

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

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