JOANNE E PRITCHARD MD
NPI 1215427687
Family Medicine in Gatesville, TX

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
319 HIGHWAY 36 BYP S, GATESVILLE, TX 76528(254) 248-6500 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2022, Jul 28, 2020, May 11, 2018 (3 updates tracked since 2018).

About Joanne E Pritchard Md NPPES

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

JOANNE E PRITCHARD MD (NPI 1215427687) is an individual family medicine provider in Gatesville, Texas, licensed in Texas (S3445) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2018).

NPPES Registry Identity

NPI1215427687
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJOANNE E PRITCHARDCredential: MD
Location Address319 HIGHWAY 36 BYP SGatesville, TX 76528-2741
Mailing AddressPo Box 844658Dallas, TX 75284-4658
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2018
Enumeration DateMay 11, 2018
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
NPI 1215427687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · S3445 Licensed in TX · BP10063988
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.

319 HIGHWAY 36 BYP S, Gatesville, TX 76528

Other Names 1

Former Name (1)Joanne E Aresty

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

Joanne E Pritchard 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 ID8820490089
PECOS Enrollment IDI20210709001941
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 3

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.

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.
117 services78 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 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.
43 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450101
Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Coryell Memorial Hospital

Critical Access Hospitals · Gatesville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451379
Location1507 W Main StreetGatesville, TX 76528 · Coryell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76528 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.06 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 4

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

Dentist
319 HIGHWAY 36 BYP S, SUITE #C
GATESVILLE, TX 76528
Nurse Practitioner (Family)
319 HIGHWAY 36 BYP S
GATESVILLE, TX 76528
Family Medicine
319 HIGHWAY 36 BYP S
GATESVILLE, TX 76528
Dentist (General Practice)
319 HIGHWAY 36 BYP S, UNIT # 3
GATESVILLE, TX 76528

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 Joanne Pritchard's NPI number?

The NPI number for Joanne Pritchard is 1215427687. It was assigned to this individual provider in the NPPES registry on May 11, 2018. The provider is also known as Joanne E Aresty.

Where is Joanne Pritchard located?

Joanne Pritchard practices at 319 Highway 36 Byp S, Gatesville, TX 76528. The listed phone number is (254) 248-6500.

What is Joanne Pritchard's specialty?

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

Is Joanne Pritchard enrolled in Medicare?

Yes. Joanne Pritchard 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 Joanne Pritchard accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Joanne Pritchard 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 Joanne Pritchard affiliated with any hospitals?

According to CMS data, Joanne Pritchard is affiliated with Baylor Scott & White Medical Center - Temple, Baylor Scott & White Medical Center Hillcrest and Coryell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joanne Pritchard was last updated on August 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.