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ANNE PRATER DO
NPI 1093204059
Pathology - Anatomic Pathology & Clinical Pathology in Birmingham, AL

Active since May 05, 2018PECOS EnrolledAccepts Medicare Assignment
619 19TH STREET S. UNIVERSITY OF ALABAMA AT BIRMINGHAM, BIRMINGHAM, AL 35249(205) 934-2373(205) 975-5242 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2022, Jul 15, 2022, May 5, 2018 (3 updates tracked since 2018).

About Anne Prater Do NPPES

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

ANNE PRATER DO (NPI 1093204059) is an individual anatomic pathology & clinical pathology provider in Birmingham, Alabama, licensed in Alabama (DO.2772) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1093204059
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameANNE PRATERCredential: DO
Location Address619 19TH STREET S. UNIVERSITY OF ALABAMA AT BIRMINGHAMBirmingham, AL 35249
Mailing Address619 19th Street S. University Of Alabama At BirminghamBirmingham, AL 35249 · (205) 934-2373 · Fax (205) 975-5242
Phone(205) 934-2373
Fax(205) 975-5242
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 5, 2018
Last NPPES UpdateAugust 17, 20223 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1093204059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in AL · DO.2772
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
619 19TH STREET S. UNIVERSITY OF ALABAMA AT BIRMINGHAM, Birmingham, AL 35249
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Secondary Practice Location 1

Location 11250 E Marshall St # 980662Richmond, VA 23298-5051 · Phone (804) 827-0561 · Fax (804) 827-1078

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

Anne Prater Do 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 ID3577810308
PECOS Enrollment IDI20230807001565
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 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
595 services282 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
35 services32 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
27 services25 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
24 services16 patients
Blood smear interpretation by physician with written report 85060
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
18 services18 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
17 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Ascension Calumet Hospital

Critical Access Hospitals · Chilton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521317
Location614 Memorial DriveChilton, WI 53014 · Calumet County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
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.

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 Anne Prater's NPI number?

The NPI number for Anne Prater is 1093204059. It was assigned to this individual provider in the NPPES registry on May 5, 2018.

Where is Anne Prater located?

Anne Prater practices at 619 19th Street S. University Of Alabama At Birmingham, Birmingham, AL 35249. The listed phone number is (205) 934-2373.

What is Anne Prater's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Anne Prater enrolled in Medicare?

Yes. Anne Prater 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.

Is Anne Prater affiliated with any hospitals?

According to CMS data, Anne Prater is affiliated with Ascension NE Wisconsin - St Elizabeth Campus, Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital, Ascension SE Wisconsin Hospital and Ascension Calumet Hospital.

When was this NPI record last updated?

The NPPES record for Anne Prater was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.