EDGAR FRIEDRICH PRASTHOFER MD
NPI 1083677413
Internal Medicine - Medical Oncology in Tuscaloosa, AL

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
78.13/100
CMS Quality Rating
1410 MCFARLAND BLVD N, TUSCALOOSA, AL 35406(205) 345-8208(205) 345-8209 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 18, 2025, Jul 21, 2022, Sep 10, 2021 and 5 more (8 updates tracked since 2016).

About Edgar Friedrich Prasthofer Md NPPES

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

EDGAR FRIEDRICH PRASTHOFER MD (NPI 1083677413) is an individual medical oncology provider in Tuscaloosa, Alabama, licensed in Alabama (MD.9260) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Winfield, and is a graduate of University Of Alabama School Of Medicine (1979).

NPPES Registry Identity

NPI1083677413
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameEDGAR FRIEDRICH PRASTHOFERCredential: MD
Location Address1410 MCFARLAND BLVD NTuscaloosa, AL 35406-2459
Mailing Address509 Energy Center Blvd Ste 804Northport, AL 35473-2798 · (205) 366-9740
Fax(205) 345-8209
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1979
Enumeration DateApril 7, 2006
Last NPPES UpdateMarch 18, 20258 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1083677413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in AL · MD.9260✔ Licensed in UT · 9511470-1205
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedSpecialistTaxonomy 174400000X · License 42668 (CO)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 35132100 (OH)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 9511470-1205 (UT)
1410 MCFARLAND BLVD N, Tuscaloosa, AL 35406

Secondary Practice Location 1

Location 1171 Carraway DrWinfield, AL 35594-5067 · Phone (205) 487-4405 · Fax (205) 487-4910

Other Identifiers 1

Medicaid0237183OH

Accepted 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

Edgar Friedrich Prasthofer 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 ID5092702241
PECOS Enrollment IDI20230313002220
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

3

Medicare enrollment records show Edgar Prasthofer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
1410 MCFARLAND BLVD N
Tuscaloosa, AL 35406
  • Reassigned Medicare billing, Alabama enrollment
  • 55 clinicians in this Medicare group
Hematology & Oncology
402 SOUTH 1ST STREET
Gadsden, AL 35901
  • Reassigned Medicare billing, Alabama enrollment
  • 26 clinicians in this Medicare group
Hematology & Oncology
3601 CCI DR NW
Huntsville, AL 35805
  • Reassigned Medicare billing, Alabama enrollment
  • 111 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35406 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

78.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.97
Promoting Interoperability88
Improvement Activities40
Cost42.12

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
1410 MCFARLAND BLVD N
TUSCALOOSA, AL 35406
Pharmacist
1410 MCFARLAND BLVD N
TUSCALOOSA, AL 35406
Internal Medicine (Hematology & Oncology)
1410 MCFARLAND BLVD N
TUSCALOOSA, AL 35406
Clinical Medical Laboratory
1410 MCFARLAND BLVD N
TUSCALOOSA, AL 35406
Radiology (Therapeutic Radiology)
1410 MCFARLAND BLVD N
TUSCALOOSA, AL 35406
Internal Medicine (Hematology & Oncology)
1410 MCFARLAND BLVD N
TUSCALOOSA, AL 35406
Pharmacist
1410 MCFARLAND BLVD N
TUSCALOOSA, AL 35406
Internal Medicine (Hematology & Oncology)
1410 MCFARLAND BLVD N
TUSCALOOSA, AL 35406

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 Edgar Prasthofer's NPI number?

The NPI number for Edgar Prasthofer is 1083677413. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Edgar Prasthofer located?

Edgar Prasthofer practices at 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406. The listed phone number is (205) 345-8208.

What is Edgar Prasthofer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Edgar Prasthofer enrolled in Medicare?

Yes. Edgar Prasthofer 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 Edgar Prasthofer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Prasthofer reassigns Medicare benefits to 3 organizations: Southeast Physician Network, P.C. (Tuscaloosa, AL), Alabama Cancer Care, LLC (Gadsden, AL) and Oncology Specialties, P.C. (Huntsville, AL). 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 Edgar Prasthofer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Prasthofer accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and CareSource and 2 other insurers list Edgar Prasthofer 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 Edgar Prasthofer was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.