DR. PRASANTH PRABHAKARAN MD
NPI 1043458664
Hospitalist in Carnegie, PA

Active since February 04, 2009PECOS EnrolledAccepts Medicare Assignment
2375 GREENTREE RD, CARNEGIE, PA 15106(412) 531-2902(412) 531-2948 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2023, Feb 22, 2023, Oct 20, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Prasanth Prabhakaran Md NPPES

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

DR. PRASANTH PRABHAKARAN MD (NPI 1043458664) is an individual hospitalist provider in Carnegie, Pennsylvania, licensed in Pennsylvania (MD475696) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with St Clair Hospital, and maintains a secondary practice location in Wexford.

NPPES Registry Identity

NPI1043458664
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRASANTH PRABHAKARANCredential: MD
Location Address2375 GREENTREE RDCarnegie, PA 15106-4203
Mailing Address701 Technology Dr Ste 150Canonsburg, PA 15317-9531 · (412) 531-2902 · Fax (412) 531-2948
Fax(412) 531-2948
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 4, 2009
Last NPPES UpdateJuly 6, 20234 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1043458664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in PA · MD475696 Licensed in MA · 252320
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 252320 (MA)
2375 GREENTREE RD, Carnegie, PA 15106

Secondary Practice Location 1

Location 112351 Perry HwyWexford, PA 15090-8344 · Phone (412) 359-3030 · Fax (412) 359-3060

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. Prasanth Prabhakaran 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 ID4880866094
PECOS Enrollment IDI20220323000670, I20240715003602
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
221 services98 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
108 services55 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services75 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services31 patients

Hospital Affiliations CMS Care Compare 2

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

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15106 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers12 claims12 services$67.62 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.

Hospitalist
2375 GREENTREE RD
CARNEGIE, PA 15106
Nurse Practitioner (Family)
2375 GREENTREE RD
CARNEGIE, PA 15106
Family Medicine
2375 GREENTREE RD
CARNEGIE, PA 15106
Physician Assistant
2375 GREENTREE RD
CARNEGIE, PA 15106
Clinic/Center (Physical Therapy)
2375 GREENTREE RD, 2ND FLOOR REAR
CARNEGIE, PA 15106
Nurse Practitioner (Family)
2375 GREENTREE RD
CARNEGIE, PA 15106
Nurse Practitioner (Family)
2375 GREENTREE RD
CARNEGIE, PA 15106
Nurse Practitioner (Family)
2375 GREENTREE RD
CARNEGIE, PA 15106

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 Prasanth Prabhakaran's NPI number?

The NPI number for Prasanth Prabhakaran is 1043458664. It was assigned to this individual provider in the NPPES registry on February 4, 2009.

Where is Prasanth Prabhakaran located?

Prasanth Prabhakaran practices at 2375 Greentree Rd, Carnegie, PA 15106. The listed phone number is (412) 531-2902.

What is Prasanth Prabhakaran's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prasanth Prabhakaran enrolled in Medicare?

Yes. Prasanth Prabhakaran 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 Prasanth Prabhakaran accept?

Health plans from CareSource and Molina Healthcare list Prasanth Prabhakaran 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 Prasanth Prabhakaran affiliated with any hospitals?

According to CMS data, Prasanth Prabhakaran is affiliated with St Clair Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Prasanth Prabhakaran was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.