BRUCE I PRAGER MD
NPI 1033137435
Orthopaedic Surgery in Arlington, TX

NPI Status: Active since July 17, 2006

Contact Information

701 SECRETARY DR
ARLINGTON, TX
ZIP 76015
Phone: (817) 468-8400
Fax: (817) 468-8512

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  • Individual
  • Male
  • Orthopaedic Surgery
  • PECOS Enrolled

About BRUCE PRAGER

This page provides the complete NPI Profile along with additional information for Bruce Prager, a provider established in Arlington, Texas with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1033137435 assigned on July 2006. The practitioner's primary taxonomy code is 207X00000X with license number G8747 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1033137435
Provider Name
BRUCE I PRAGER MD
Gender
Male
Entity Type
Individual
Location Address
701 SECRETARY DR ARLINGTON, TX 76015
Location Phone
(817) 468-8400
Location Fax
(817) 468-8512
Mailing Address
701 SECRETARY DR ARLINGTON, TX 76015
Mailing Phone
(817) 468-8400
Mailing Fax
(817) 468-8512
Is Sole Proprietor?
Yes
Enumeration Date
07-17-2006
Last Update Date
03-01-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
G8747
License State
TX
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
096819004MEDICAID (05)TX 
096819005MEDICAID (05)TX 
096819003MEDICAID (05)TX 

Medicare Participation & PECOS Enrollment Status

Bruce Prager is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 18 times for 12 patients

New patient office or other outpatient visit, 30-44 minutes

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.

This service was performed 15 times for 15 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 76015 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.2
  • Minimum New Patient Price $56.47
  • Maximum New Patient Price $171.07
  • Average New Patient Copayment $21.8
  • Minimum New Patient Copayment $14.11
  • Maximum New Patient Copayment $42.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.45
  • Minimum Established Patient Price $18.18
  • Maximum Established Patient Price $139.68
  • Average Established Patient Copayment $17.61
  • Minimum Established Patient Copayment $4.54
  • Maximum Established Patient Copayment $34.92

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033137435
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063231446
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 3 + 1 + 4 + 4 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1033137435 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033137435, enumerated as an "individual" on July 17, 2006.

The provider is located at 701 SECRETARY DR ARLINGTON, TX 76015 and the phone number is (817) 468-8400.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.