LONA PRASAD MD
NPI 1235160458
Obstetrics & Gynecology in New York, NY

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
425 E 61ST ST, 11TH FLOOR, NEW YORK, NY 10021(212) 821-0974 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lona Prasad Md NPPES

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

LONA PRASAD MD (NPI 1235160458) is an individual obstetrics & gynecology provider in New York, New York, licensed in New York (237413) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1235160458
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLONA PRASADCredential: MD
Location Address425 E 61ST ST, 11TH FLOORNew York, NY 10021-8722
Mailing Address525 E 68th St, J-130New York, NY 10021-4870 · (212) 746-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
NPI 1235160458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 237413
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 237413 (NY)
425 E 61ST ST, New York, NY 10021

Other Identifiers 1

Other237413NY · License

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

Lona Prasad 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 ID2567468978
PECOS Enrollment IDI20061006000603
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 7

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
158 services158 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
89 services89 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
47 services43 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
27 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services24 patients
Biopsy of growth of external female genitals, first growth 56605
A biopsy of the external female region involves removing a small piece of tissue from an identified growth for examination. This helps to diagnose any abnormalities. It's a safe procedure typically performed by a healthcare professional.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Psychologist (Clinical)
425 E 61ST ST, PENTHOUSE SUITE 1301A
NEW YORK, NY 10021
Genetic Counselor, MS
425 E 61ST ST, 8TH FLOOR
NEW YORK, NY 10021
Surgery
425 E 61ST ST, SUITE 8TH FLOOR
NEW YORK, NY 10021
Surgery
425 E 61ST ST, 8TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Cardiovascular Disease)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Cardiovascular Disease)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Pulmonary Disease)
425 E 61ST ST, 4TH FL
NEW YORK, NY 10021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235160458, enumerated as an "individual" on July 05, 2006.

The provider is located at 425 E 61ST ST 11TH FLOOR NEW YORK, NY 10021 and the phone number is (212) 821-0974.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Lona Prasad is affiliated with: NEW YORK-PRESBYTERIAN HOSPITAL.