RICHARD EDWIN PRATLEY MD
NPI 1194837476
Internal Medicine - Endocrinology, Diabetes & Metabolism in Orlando, FL
About Richard Edwin Pratley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD EDWIN PRATLEY MD (NPI 1194837476) is an individual endocrinology, diabetes & metabolism provider in Orlando, Florida, licensed in Florida (ME110521) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Wayne State University School Of Medicine (1983).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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
Richard Edwin Pratley 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Orlando
Acute Care Hospitals · Orlando, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ORLANDO, FL 32804
ORLANDO, FL 32804
ORLANDO, FL 32804
ORLANDO, FL 32804
ORLANDO, FL 32804
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 Richard Pratley's NPI number?
The NPI number for Richard Pratley is 1194837476. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Richard Pratley located?
Richard Pratley practices at 2415 N Orange Ave Suite 502, Orlando, FL 32804. The listed phone number is (407) 303-2801.
What is Richard Pratley's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Richard Pratley enrolled in Medicare?
Yes. Richard Pratley 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 Richard Pratley accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and Wellpoint list Richard Pratley 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 Richard Pratley affiliated with any hospitals?
According to CMS data, Richard Pratley is affiliated with Adventhealth Orlando.
When was this NPI record last updated?
The NPPES record for Richard Pratley was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Richard Edwin Pratley, MD · NPI 1194837476
Endocrinology, Diabetes & Metabolism physician in Orlando, Florida. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1194837476 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** ME110521 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2415 N ORANGE AVE, SUITE 502, Orlando, FL 32804
- **Phone:** (407) 303-2801 · **Fax:** (407) 303-2805
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Wayne State University School Of Medicine, class of 1983
## Record status
- **NPPES last updated:** March 10, 2021
- **Other identifiers:** Medicaid 004133800 (FL); Medicaid 1010563 (VT); Medicaid 02554814 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1194837476) · Data from the CMS NPPES public registry.