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THEODORE C PRATT MD
NPI 1013954080
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Reno, NV

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
6630 S MCCARRAN BLVD STE 202, RENO, NV 89509(775) 525-9151(775) 683-6785 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2026, Sep 30, 2024, Oct 7, 2019 (3 updates tracked since 2019).

About Theodore C Pratt Md NPPES

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

THEODORE C PRATT MD (NPI 1013954080) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Reno, Nevada, licensed in Nevada (19436) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Nevada Medical Center, and is a graduate of University Of Nevada School Of Medicine (1997).

NPPES Registry Identity

NPI1013954080
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameTHEODORE C PRATTCredential: MD
Location Address6630 S MCCARRAN BLVD STE 202Reno, NV 89509-6186
Mailing Address1021 Steamboat Pkwy Ste 120Reno, NV 89521-6432 · (775) 525-9151 · Fax (775) 683-6785
Phone(775) 525-9151
Fax(775) 683-6785
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1997
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1013954080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in NV · 19436
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
6630 S MCCARRAN BLVD STE 202, Reno, NV 89509
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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

Theodore C Pratt Md 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 ID7911056023
PECOS Enrollment IDI20220318002325
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 Theodore Pratt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Nevada Medical Group, LLC
7.2 mi
Family Medicine
2345 E PRATER WAY, SUITE 207
Sparks, NV 89434
  • Reassigned Medicare billing, Nevada enrollment
  • 138 clinicians in this Medicare group
NPI 1972751618 (775) 352-5300

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 5

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
21 services21 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
14 services14 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.
14 services14 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Northern Nevada Medical Center

Acute Care Hospitals · Sparks, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290032
Location2375 E Prater WaySparks, NV 89434 · Washoe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89509 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
$173.24 typical visit price
range $57.07 – $173.24
Typical copayment $43.31 (range $14.26 – $43.31)
Most-billed visit code 99205
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 2

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

MRS. TERRI L ELLIOTT PAC
Physician Assistant (Surgical)
6630 S MCCARRAN BLVD STE 202
RENO, NV 89509
Washoe County (775) 525-9151
DR. JEREMY JOHN SONG M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6630 S MCCARRAN BLVD STE 202
RENO, NV 89509
Washoe County (775) 525-9151

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 Theodore Pratt's NPI number?

The NPI number for Theodore Pratt is 1013954080. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Theodore Pratt located?

Theodore Pratt practices at 6630 S Mccarran Blvd Ste 202, Reno, NV 89509. The listed phone number is (775) 525-9151.

What is Theodore Pratt's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Theodore Pratt enrolled in Medicare?

Yes. Theodore Pratt 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 Theodore Pratt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Pratt reassigns Medicare benefits to Northern Nevada Medical Group, LLC (Sparks, NV). 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 Theodore Pratt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Pratt accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Theodore Pratt 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 Theodore Pratt affiliated with any hospitals?

According to CMS data, Theodore Pratt is affiliated with Northern Nevada Medical Center.

When was this NPI record last updated?

The NPPES record for Theodore Pratt was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.