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EUSTACIA L PRATT MD
NPI 1114977972
Family Medicine in Johnson City, TN

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
400 N STATE OF FRANKLIN RD, IPC HOSPITALIST, JOHNSON CITY, TN 37604(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, May 29, 2025 (2 updates tracked since 2025).

About Eustacia L Pratt Md NPPES

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

EUSTACIA L PRATT MD (NPI 1114977972) is an individual family medicine provider in Johnson City, Tennessee, licensed in Tennessee (MD32135) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-jefferson Memorial Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (1997).

NPPES Registry Identity

NPI1114977972
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEUSTACIA L PRATTCredential: MD
Location Address400 N STATE OF FRANKLIN RD, IPC HOSPITALISTJohnson City, TN 37604-6035
Mailing Address119 Boone Ridge Dr, Suite 201Johnson City, TN 37615-4998 · (423) 282-1480 · Fax (423) 928-1353
Phone(423) 282-1480
Fax(423) 928-1353
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1997
Enumeration DateMay 11, 2006
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1114977972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD32135
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 32135 (TN)
400 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Names 1

Other Name (5)Eustacia Lee Ellen Pratt Md

Other Identifiers 1

Medicaid3849642TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Eustacia L 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 ID1052371804
PECOS Enrollment IDI20041015000240
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 4

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.
447 services199 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.
140 services132 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.
35 services26 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440056
Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%108 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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
2 suppliers26 claims26 services$53.53 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier65 claims65 services$2.69 avg. paid by Medicare
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
4 suppliers28 claims28 services$65.17 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers71 claims71 services$20.00 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$30.66 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers38 claims38 services$9.56 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.

DR. CASEY JAMES WILBERT PHARM.D
Pharmacist
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-2787
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Cardiovascular Disease)
400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604
Washington County (423) 431-5965
MITCHELL DESHAZER
Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727
DR. ANDREW LEE GIBSON MD
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
MCKENZIE PEARL GREGG PA-C, MMS, MPH
Physician Assistant
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
OLUWATOSIN ORIOLA AYANJOKE MD
Family Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
HUNTER DORTON
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
DR. LEON CHARLES BASS M.D.
Internal Medicine (Pulmonary Disease)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727

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 Eustacia Pratt's NPI number?

The NPI number for Eustacia Pratt is 1114977972. It was assigned to this individual provider in the NPPES registry on May 11, 2006. The provider is also known as Eustacia Lee Ellen Pratt MD.

Where is Eustacia Pratt located?

Eustacia Pratt practices at 400 N State Of Franklin Rd Ipc Hospitalist, Johnson City, TN 37604. The listed phone number is (423) 282-1480.

What is Eustacia Pratt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eustacia Pratt enrolled in Medicare?

Yes. Eustacia 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 Eustacia Pratt accept?

Health plans from BlueCross BlueShield of Tennessee list Eustacia 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 Eustacia Pratt affiliated with any hospitals?

According to CMS data, Eustacia Pratt is affiliated with Tennova Healthcare-Jefferson Memorial Hospital and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Eustacia Pratt was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.