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

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: October 18, 2026.

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 Other (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 CMSOtherGraduated 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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kenneth Prather reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crossett Health Foundation
43 mi
Medicare Defined Swing Bed Unit
1015 UNITY RD
Crossett, AR 71635
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1952308215 (Arkansas), NPI 1548252745 (Arkansas)
  • 2 clinicians in this Medicare group
NPI 1649443144 (870) 364-4111
Ess Hospitalist LLC
43 mi
Hospitalist
1015 UNITY RD
Crossett, AR 71635
  • Reassigned Medicare billing, Arkansas enrollment
  • 152 clinicians in this Medicare group
NPI 1881967305 (866) 931-8882
Arkansas Emergency Staffing Solutions, Inc
60 mi
Emergency Medicine
2001 S MAIN ST
Hope, AR 71801
  • Reassigned Medicare billing, Arkansas enrollment
  • 323 clinicians in this Medicare group
NPI 1275774630 (870) 777-2323
Healogics Specialty Physicians Of Arkansas, PLLC
216 mi
Undersea and Hyperbaric Medicine
3017 N BOB YOUNKIN DR STE 102
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 27 clinicians in this Medicare group
NPI 1538561436 (479) 463-4325

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.

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.

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
Hospitalist
700 W GROVE ST
EL DORADO, AR 71730
Union County (870) 863-2000
BYRON L. EYRE MD
Anesthesiology
700 W GROVE ST
EL DORADO, AR 71730
Union County (954) 838-2371
BYRON D. WILLIAMS MD
Anesthesiology
700 W GROVE ST
EL DORADO, AR 71730
Union County (954) 838-2371
JACKIE HAKEEM HAWKINS
Nurse Anesthetist, Certified Registered
700 W GROVE ST
EL DORADO, AR 71730
Union County (870) 864-3390
NES ARKANSAS, INC.
Emergency Medicine
700 W GROVE ST
EL DORADO, AR 71730
Union County (870) 863-2200
LIVIU M. ANCA MD
Anesthesiology
700 W GROVE ST
EL DORADO, AR 71730
Union County (954) 838-2371
DR. DIANA T. JUCAS M.D.
Specialist
700 W GROVE ST
EL DORADO, AR 71730
Union County (870) 862-1577
SOUTH ARKANSAS EMERGENCY PHYSICIANS LLP
Hospitalist
700 W GROVE ST
EL DORADO, AR 71730
Union County (870) 864-3200

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 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.

Where is Kenneth Prather located?

Kenneth Prather practices at 700 W Grove St, El Dorado, AR 71730. The listed phone number is (870) 863-2000.

What is Kenneth Prather's specialty?

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

Is Kenneth Prather enrolled in Medicare?

Yes. Kenneth Prather 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 organizations bill Medicare for Kenneth Prather's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Prather reassigns Medicare benefits to 4 organizations: Crossett Health Foundation (Crossett, AR), Ess Hospitalist LLC (Crossett, AR), Arkansas Emergency Staffing Solutions, Inc (Hope, AR) and Healogics Specialty Physicians Of Arkansas, PLLC (Fayetteville, AR). Each 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 Kenneth Prather's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Prather accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Kenneth Prather 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 Kenneth Prather was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.