KENNETH C PRATHER MD
NPI 1023086931
General Practice in El Dorado, AR

Q: What is Kenneth Prather's NPI number?

The NPI number for Kenneth Prather is 1023086931. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Kenneth Prather's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Prather was last updated on January 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment

700 W GROVE ST, EL DORADO, AR 71730(870) 863-2000 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kenneth C Prather Md NPPES

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

KENNETH C PRATHER MD (NPI 1023086931) is an individual general practice provider in El Dorado, Arkansas, licensed in Arkansas (C5928) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1981).

NPPES Registry Identity

NPI1023086931

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameKENNETH C PRATHERCredential: MD

Location Address700 W GROVE STEl Dorado, AR 71730-4416

Mailing Address5220 Belfort Rd, Atten: Julie KayeJacksonville, FL 32256-6017 · (904) 446-3737 · Fax (904) 446-3013

Phone(870) 863-2000

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1981

Enumeration DateMarch 8, 2006

Last NPPES UpdateJanuary 27, 2016

✔ NPI 1023086931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AR · C5928

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

700 W GROVE ST, El Dorado, AR 71730

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Other Identifiers 3

Medicaid106158001AR

Other54158AR · Blue Cross

Medicare UPINB90494AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Kenneth C Prather 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 ID7911082698

PECOS Enrollment IDI20080305000140

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

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.

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

103 services37 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Foot Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

94%171 patients4/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

76%3,216 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

89%202 patients4/55-star benchmark: 99%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

23%265 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 98% · 435 patients

Patients tobacco: 76% · 435 patients

7%105 patients1/55-star benchmark: 98%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 1% · 202 patients

1%202 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

3 suppliers36 claims2,880 services$0.10 avg. paid by Medicare

Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216

DME-Medical/Surgical Supplies · category DA023N

2 suppliers43 claims10,010 services$0.04 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

4 suppliers30 claims1,047 services$0.92 avg. paid by Medicare

Wound filler, gel/paste, per fluid ounce, not otherwise specified A6261

DME-Medical/Surgical Supplies · category DA023N

3 suppliers30 claims59 services$39.67 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

3 suppliers32 claims4,042 services$0.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

HCC OF EL DORADO LLC

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