1. Home
  2. Directory
  3. Washington
  4. Joint Base Lewis Mcchord
  5. Surgery
  6. NPI Profile

BEAU PREY
NPI 1144785049
Surgery in Joint Base Lewis Mcchord, WA

Active since February 05, 2019PECOS Enrolled
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431(253) 968-0236 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2020, Feb 5, 2019 (2 updates tracked since 2019).

About Beau Prey NPPES

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

BEAU PREY (NPI 1144785049) is an individual surgery provider in Joint Base Lewis Mcchord, Washington, licensed in Nebraska (33180) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144785049
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBEAU PREY
Location Address9040 FITZSIMMONS DRJoint Base Lewis Mcchord, WA 98431-1000
Mailing Address813 W Lovell St Apt 210bKalamazoo, MI 49007-4524 · (248) 880-4796
Phone(253) 968-0236
Sole ProprietorNo
Enumeration DateFebruary 5, 2019
Last NPPES UpdateDecember 22, 20202 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1144785049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NE · 33180
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9040 FITZSIMMONS DR, Joint Base Lewis Mcchord, WA 98431
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beau Prey 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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. LAURIE ANN VALENZANO D.P.T
Physical Therapist
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-0780
DR. ERICK MICHAEL HEYGOOD M.D.
Student in an Organized Health Care Education/Training Program
9040 FITZSIMMONS DR
TACOMA, WA 98431
Pierce County (253) 968-1330
JOURDIN STEWART
Student in an Organized Health Care Education/Training Program
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-1936
DR. MATTHEW CHRISTOPHER MILLER M.D.
Emergency Medicine
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2997
CHRISTINA RAMOS R.T.(M)(BD)
Radiologic Technologist
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2208
DR. MATTHEW JOSEPH ECKERT MD
Surgery (Trauma Surgery)
9040 FITZSIMMONS DR, DEPT SURGERY, MADIGAN ARMY MEDICAL CENTER
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2200
DAVID BARRY
Student in an Organized Health Care Education/Training Program
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2820
KIRA BROWN
Student in an Organized Health Care Education/Training Program
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (360) 790-8946

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 Beau Prey's NPI number?

The NPI number for Beau Prey is 1144785049. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Beau Prey located?

Beau Prey practices at 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (253) 968-0236.

What is Beau Prey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Beau Prey enrolled in Medicare?

Yes. Beau Prey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beau Prey was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.