Official registry information on file with the National Plan and Provider Enumeration System.
DR. WHITNEY M. PRATT MD (NPI 1083849335) is an individual physical medicine & rehabilitation provider in Indianapolis, Indiana, licensed in Indiana (01072328A) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and is a graduate of Indiana University School Of Medicine (2009).
NPPES Registry Identity
NPI1083849335
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameDR. WHITNEY M. PRATTCredential: MD
Location Address355 W 16TH STIndianapolis, IN 46202-2207
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Whitney M. Pratt 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 ID3678712254
PECOS Enrollment IDI20130828000735
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 claims7
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.
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
144 services109 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
75 services60 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.
62 services60 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.
59 services58 patients
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.
41 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Hospital Affiliations CMS Care Compare2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
✓ Emergency services✓ Birthing friendly
Referred Medical Equipment & Supplies CMS DME claims50
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers33 claims33 services$45.92 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
5 suppliers23 claims23 services$45.38 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
2 suppliers28 claims28 services$80.13 avg. paid by Medicare
Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each E0953
DME-Wheelchairs · category DD021N
2 suppliers13 claims26 services$74.65 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
3 suppliers18 claims18 services$154.88 avg. paid by Medicare
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each E0956
DME-Wheelchairs · category DD021N
2 suppliers15 claims30 services$77.64 avg. paid by Medicare
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware E0960
DME-Wheelchairs · category DD021N
3 suppliers18 claims18 services$71.95 avg. paid by Medicare
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction E1007
DME-Wheelchairs · category DD021N
3 suppliers16 claims16 services$7,189.36 avg. paid by Medicare
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each E1012
DME-Wheelchairs · category DD021N
4 suppliers17 claims17 services$947.09 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
4 suppliers34 claims100 services$162.18 avg. paid by Medicare
1 supplier22 claims22 services$26.62 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$187.05 avg. paid by Medicare
Wheelchair, pediatric size, folding, adjustable, without seating system E1238
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$115.45 avg. paid by Medicare
Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware E2311
DME-Wheelchairs · category DD009N
3 suppliers16 claims16 services$1,929.35 avg. paid by Medicare
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each E2313
DME-Wheelchairs · category DD009N
3 suppliers16 claims16 services$293.18 avg. paid by Medicare
Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated E2323
DME-Wheelchairs · category DD009N
2 suppliers12 claims12 services$53.27 avg. paid by Medicare
Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) E2363
DME-Wheelchairs · category DD009N
2 suppliers11 claims22 services$154.63 avg. paid by Medicare
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue E2377
DME-Wheelchairs · category DD009N
3 suppliers16 claims16 services$380.82 avg. paid by Medicare
Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware E2620
DME-Wheelchairs · category DD021N
2 suppliers19 claims19 services$424.51 avg. paid by Medicare
Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth E2622
DME-Wheelchairs · category DD021N
3 suppliers17 claims17 services$261.87 avg. paid by Medicare
Wheelchair component or accessory, not otherwise specified K0108
DME-Wheelchairs · category DD021N
5 suppliers32 claims86 services$134.28 avg. paid by Medicare
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes K0739
DME-Other DME · category DE000N
6 suppliers41 claims221 services$12.76 avg. paid by Medicare
Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds K0861
DME-Wheelchairs · category DD009N
3 suppliers15 claims15 services$4,712.76 avg. paid by Medicare
Below knee, molded socket, shin, sach foot, endoskeletal system L5301
DME-Orthotic Devices · category DF003N
8 suppliers14 claims15 services$2,243.01 avg. paid by Medicare
Addition to lower extremity, test socket, below knee L5620
DME-Orthotic Devices · category DF003N
11 suppliers24 claims47 services$248.14 avg. paid by Medicare
Addition to lower extremity, test socket, above knee L5624
DME-Orthotic Devices · category DF000N
9 suppliers14 claims25 services$332.62 avg. paid by Medicare
Addition to lower extremity, below knee, acrylic socket L5629
DME-Orthotic Devices · category DF003N
11 suppliers29 claims30 services$263.90 avg. paid by Medicare
Addition to lower extremity, above knee or knee disarticulation, acrylic socket L5631
DME-Orthotic Devices · category DF000N
8 suppliers12 claims13 services$364.02 avg. paid by Medicare
Addition to lower extremity, below knee, total contact L5637
DME-Orthotic Devices · category DF003N
13 suppliers33 claims34 services$320.14 avg. paid by Medicare
8 suppliers14 claims15 services$1,184.94 avg. paid by Medicare
Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert L5671
DME-Orthotic Devices · category DF003N
15 suppliers22 claims25 services$398.37 avg. paid by Medicare
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism L5673
DME-Orthotic Devices · category DF003N
17 suppliers26 claims58 services$656.65 avg. paid by Medicare
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism L5679
DME-Orthotic Devices · category DF003N
8 suppliers30 claims60 services$546.83 avg. paid by Medicare
Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each L5685
DME-Orthotic Devices · category DF003N
10 suppliers30 claims59 services$102.05 avg. paid by Medicare
Replacement, socket, below knee, molded to patient model L5700
DME-Orthotic Devices · category DF003N
8 suppliers16 claims16 services$2,550.89 avg. paid by Medicare
Addition, endoskeletal system, below knee, alignable system L5910
DME-Orthotic Devices · category DF003N
13 suppliers26 claims27 services$301.35 avg. paid by Medicare
Addition, endoskeletal system, above knee or hip disarticulation, alignable system L5920
DME-Orthotic Devices · category DF000N
9 suppliers12 claims13 services$439.59 avg. paid by Medicare
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) L5940
DME-Orthotic Devices · category DF003N
11 suppliers29 claims30 services$416.54 avg. paid by Medicare
Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) L5950
DME-Orthotic Devices · category DF000N
8 suppliers12 claims13 services$644.58 avg. paid by Medicare
All lower extremity prostheses, flex-walk system or equal L5981
DME-Orthotic Devices · category DF003N
8 suppliers14 claims16 services$2,847.68 avg. paid by Medicare
Prosthetic sock, multiple ply, below knee, each L8420
DME-Orthotic Devices · category DF003N
15 suppliers36 claims331 services$17.08 avg. paid by Medicare
Prosthetic sock, multiple ply, above knee, each L8430
DME-Orthotic Devices · category DF000N
9 suppliers17 claims156 services$19.70 avg. paid by Medicare
Prosthetic shrinker, below knee, each L8440
DME-Orthotic Devices · category DF000N
9 suppliers17 claims52 services$38.91 avg. paid by Medicare
Prosthetic shrinker, above knee, each L8460
DME-Orthotic Devices · category DF000N
7 suppliers11 claims32 services$49.48 avg. paid by Medicare
Prosthetic sock, single ply, fitting, below knee, each L8470
DME-Orthotic Devices · category DF000N
12 suppliers29 claims227 services$5.54 avg. paid by Medicare
Prosthetic sock, single ply, fitting, above knee, each L8480
DME-Orthotic Devices · category DF000N
7 suppliers14 claims129 services$7.64 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 NPPES20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
355 W 16TH ST, #2364 INDIANAPOLIS, IN 46202
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 Whitney Pratt's NPI number?
The NPI number for Whitney Pratt is 1083849335. It was assigned to this individual provider in the NPPES registry on May 15, 2009.
Where is Whitney Pratt located?
Whitney Pratt practices at 355 W 16th St, Indianapolis, IN 46202. The listed phone number is (317) 963-7077.
What is Whitney Pratt's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Whitney Pratt enrolled in Medicare?
Yes. Whitney Pratt 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 Whitney Pratt accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Whitney Pratt 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 Whitney Pratt affiliated with any hospitals?
According to CMS data, Whitney Pratt is affiliated with Eskenazi Health and Indiana University Health.
When was this NPI record last updated?
The NPPES record for Whitney Pratt was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Whitney M. Pratt, MD · NPI 1083849335
Physical Medicine & Rehabilitation physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since May 15, 2009.
## Identity
- **NPI:** 1083849335 (Entity type: Individual)
- **Enumerated:** May 15, 2009
- **Primary specialty:** Physical Medicine & Rehabilitation · taxonomy 208100000X
- **State license:** 01072328A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 355 W 16TH ST, Indianapolis, IN 46202-2207
- **Phone:** (317) 963-7077 · **Fax:** (317) 963-7068
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Indiana University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** December 28, 2020
- **Other identifiers:** Medicaid 201114640 (IN); Other 000001012035 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1083849335) · Data from the CMS NPPES public registry.