DR. PRAT ITHARAT M.D.
NPI 1124281688
Ophthalmology in Summerville, SC

Active since July 05, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
515 CARNES CROSSING BLVD, SUITE C, SUMMERVILLE, SC 29486(843) 259-2002(843) 259-2005 Get Directions Write a Review

NPPES record last updated: December 26, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Prat Itharat M.d. NPPES

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

DR. PRAT ITHARAT M.D. (NPI 1124281688) is an individual ophthalmology provider in Summerville, South Carolina, licensed in South Carolina (MMD.3132) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1124281688
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PRAT ITHARATCredential: M.D.
Location Address515 CARNES CROSSING BLVD, SUITE CSummerville, SC 29486
Mailing Address515 Carnes Crossing Blvd, Suite CSummerville, SC 29486 · (843) 259-2002 · Fax (843) 259-2005
Fax(843) 259-2005
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 5, 2008
Last NPPES UpdateDecember 26, 2017
NPI 1124281688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in SC · MMD.3132
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

515 CARNES CROSSING BLVD, Summerville, SC 29486

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. Prat Itharat M.d. 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 ID8921163767
PECOS Enrollment IDI20090211000622
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 20

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
1,139 services860 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
796 services569 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
479 services361 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
369 services326 patients
New patient office or other outpatient visit, 45-59 minutes 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.
258 services258 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
177 services129 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29486 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%638 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%638 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,345 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
94%142 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%156 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
99%158 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%153 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,506 patients
Patients totalRate: 0% · 1,506 patients
0%1,506 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.

Other Providers at the Same Location NPPES

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

Ophthalmology
515 CARNES CROSSING BLVD, SUITE C
SUMMERVILLE, SC 29486

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124281688, enumerated as an "individual" on July 05, 2008.

The provider is located at 515 CARNES CROSSING BLVD SUITE C SUMMERVILLE, SC 29486 and the phone number is (843) 259-2002.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Molina. Please consult your insurance carrier or call the provider to verify.