DR. CHARLENE M PRATHER MD
NPI 1043228927
Internal Medicine - Gastroenterology in Saint Louis, MO
About Dr. Charlene M Prather Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLENE M PRATHER MD (NPI 1043228927) is an individual gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (R3H22) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Dr. Charlene M 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital
Acute Care Hospitals · Belleville, ILBarnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOMissouri Baptist Medical Center
Acute Care Hospitals · Town And Country, MOBarnes-Jewish West County Hospital
Acute Care Hospitals · Creve Coeur, MOBarnes-Jewish St Peters Hospital
Acute Care Hospitals · Saint Peters, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Charlene Prather's NPI number?
The NPI number for Charlene Prather is 1043228927. It was assigned to this individual provider in the NPPES registry on August 4, 2006.
Where is Charlene Prather located?
Charlene Prather practices at 1 Barnes Jewish Hospital Plz Div Im Gastroenterology, Saint Louis, MO 63110. The listed phone number is (314) 747-2066.
What is Charlene Prather's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Charlene Prather enrolled in Medicare?
Yes. Charlene 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.
What insurance does Charlene Prather accept?
Health plans from Cox HealthPlans list Charlene 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.
Is Charlene Prather affiliated with any hospitals?
According to CMS data, Charlene Prather is affiliated with Memorial Hospital, Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and Barnes-Jewish St Peters Hospital.
When was this NPI record last updated?
The NPPES record for Charlene Prather was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
