PRACHI R PAWAR MD
NPI 1144621277
Psychiatry & Neurology - Neurology in Rock Springs, WY

Active since September 08, 2014PECOS Enrolled
100/100
CMS Quality Rating
1180 COLLEGE DR, ROCK SPRINGS, WY 82901(307) 212-7570(307) 212-7530 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 2, 2020, Sep 3, 2020 (2 updates tracked since 2020).

About Prachi R Pawar Md NPPES

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

PRACHI R PAWAR MD (NPI 1144621277) is an individual neurology provider in Rock Springs, Wyoming, licensed in Wyoming (13202A) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144621277
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NamePRACHI R PAWARCredential: MD
Location Address1180 COLLEGE DRRock Springs, WY 82901-5863
Mailing Address1180 College DrRock Springs, WY 82901-5863 · (307) 212-7570 · Fax (307) 212-7530
Fax(307) 212-7530
Sole ProprietorYes
Enumeration DateSeptember 8, 2014
Last NPPES UpdateNovember 2, 20202 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
NPI 1144621277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WY · 13202A
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1180 COLLEGE DR, Rock Springs, WY 82901

Other Names 1

Other Name (5)Prachi Ulhas Kale Mbbs

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 (PECOS)

Prachi R Pawar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 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.
233 services186 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.
100 services100 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.
63 services63 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
20 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82901 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Physician Assistant (Medical)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Family Medicine
1180 COLLEGE DR, SUITE 3-2
ROCK SPRINGS, WY 82901
Otolaryngology
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Internal Medicine (Medical Oncology)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Orthopaedic Surgery
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Otolaryngology (Otolaryngic Allergy)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Surgery
1180 COLLEGE DR
ROCK SPRINGS, WY 82901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144621277, enumerated as an "individual" on September 08, 2014.

The provider is located at 1180 COLLEGE DR ROCK SPRINGS, WY 82901 and the phone number is (307) 212-7570.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming,. Please consult your insurance carrier or call the provider to verify.