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CHARLES PRUCHNO MD
NPI 1194762849
Family Medicine in Cedar Rapids, IA

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
202 10TH ST SE, CEDAR RAPIDS, IA 52403(319) 247-3899 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2018, Nov 17, 2015 (2 updates tracked since 2015).

About Charles Pruchno Md NPPES

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

CHARLES PRUCHNO MD (NPI 1194762849) is an individual family medicine provider in Cedar Rapids, Iowa, licensed in Iowa (MD-27892) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Indiana University School Of Medicine (1986).

NPPES Registry Identity

NPI1194762849
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES PRUCHNOCredential: MD
Location Address202 10TH ST SECedar Rapids, IA 52403-2414
Mailing Address202 10th St SeCedar Rapids, IA 52403-2414 · (319) 247-3899
Phone(319) 247-3899
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1986
Enumeration DateJune 1, 2006
Last NPPES UpdateMay 9, 20182 updates tracked since enumeration
✔ NPI 1194762849 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 IA · MD-27892
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 ListedInternal MedicineTaxonomy 207R00000X · License 27892 (IA)
202 10TH ST SE, Cedar Rapids, IA 52403
Open in Google Maps ↗

Other Identifiers 1

Medicaid1101865IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

Charles Pruchno 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 ID5193745800
PECOS Enrollment IDI20051128000387
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
233 services224 patients
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.
177 services96 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.
140 services94 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.
111 services106 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52403 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers31 claims83 services$5.93 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers14 claims14 services$14.62 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims72 services$2.31 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers27 claims27 services$31.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers36 claims37 services$177.15 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. MELANIE LUCILLE GIESLER-SPELLMAN D.O
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
202 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 399-2022
BOOTHAPURI VENKATESH MD
Internal Medicine (Cardiovascular Disease)
202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403
Linn County (319) 364-7101
DR. LOUIS CHARLES KEILER III M.D.
Radiology (Radiation Oncology)
202 10TH ST SE, SUITE 195
CEDAR RAPIDS, IA 52403
Linn County (319) 558-4876
NICOLE M PRUCHNO ARNP
Nurse Practitioner (Family)
202 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 297-2900
HARINDER SINGH MD
Internal Medicine (Rheumatology)
202 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-1546
HISHAM WAGDY MD
Internal Medicine (Interventional Cardiology)
202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403
Linn County (319) 364-7101
CARDIOLOGISTS LC
Internal Medicine (Cardiovascular Disease)
202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403
Linn County (319) 364-7101
BRANDON FORREST BOLDT MD
Internal Medicine (Sports Medicine)
202 10TH ST SE
CEDAR RAPIDS, IA 52403
Linn County (319) 398-1545

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 Charles Pruchno's NPI number?

The NPI number for Charles Pruchno is 1194762849. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Charles Pruchno located?

Charles Pruchno practices at 202 10th St SE, Cedar Rapids, IA 52403. The listed phone number is (319) 247-3899.

What is Charles Pruchno's specialty?

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

Is Charles Pruchno enrolled in Medicare?

Yes. Charles Pruchno 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 Charles Pruchno accept?

Health plans from Medica and Oscar Insurance Company list Charles Pruchno 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 Charles Pruchno affiliated with any hospitals?

According to CMS data, Charles Pruchno is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Charles Pruchno was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.