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DR. MATOUS PRADNY MD
NPI 1255535779
Internal Medicine in Saint Joseph, MI

Active since June 11, 2007PECOS Enrolled
75/100
CMS Quality Rating
1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 985-4632 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matous Pradny Md NPPES

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

DR. MATOUS PRADNY MD (NPI 1255535779) is an individual internal medicine provider in Saint Joseph, Michigan, licensed in Michigan (EMC0006119) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255535779
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MATOUS PRADNYCredential: MD
Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112
Mailing Address1234 Napier AveSaint Joseph, MI 49085-2112 · (269) 985-4632
Phone(269) 985-4632
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2009
Enumeration DateJune 11, 2007
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1255535779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MI · EMC0006119✔ Licensed in MI · 4301088348✔ Licensed in IN · 01066616A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301088348 (MI)
1234 NAPIER AVE, Saint Joseph, MI 49085
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15215 HOLY CROSS PARKWAYMishawaka, IN 46545-1469 · Phone (574) 237-7111
Location 231 N Saint Joseph AveNiles, MI 49120-2207 · Phone (269) 985-4632

Other Identifiers 1

Other000000626995IN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matous Pradny Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537212899
PECOS Enrollment IDI20241216002177, I20250303001161
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 2

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.
444 services398 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Roy Lester Schneider Hospital,the

Acute Care Hospitals · St Thomas, VI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number480001
Location9048 Sugar EstateSt Thomas, VI 00801 · Saint Thomas Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

HANY S MESIHA MD
Internal Medicine
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-8300
CORY MINIER SCHMIDT MD
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 985-4632
JORDAN ANDERSON
Occupational Therapist
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-8332
DR. KAREN J DYER M.D.
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 985-4632
MR. NATHAN JOHN JORDAN MD
Radiology (Diagnostic Radiology)
1234 NAPIER AVE
ST JOSEPH, MI 49085
Berrien County (269) 983-8300
DR. JAMES G. SISAMIS MD
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0118
DR. DIEGO P BETITA MD
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0118
DR. JESSICA LYNN HAMILL SCHINDLER D.O.
Emergency Medicine
1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085
Berrien County (269) 982-4941

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 Matous Pradny's NPI number?

The NPI number for Matous Pradny is 1255535779. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Matous Pradny located?

Matous Pradny practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 985-4632.

What is Matous Pradny's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matous Pradny enrolled in Medicare?

Yes. Matous Pradny is registered in the Medicare PECOS enrollment system.

What insurance does Matous Pradny accept?

Health plans from CareSource list Matous Pradny 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 Matous Pradny affiliated with any hospitals?

According to CMS data, Matous Pradny is affiliated with Lakeland Hospital, St Joseph, Corewell Health Watervliet Hospital and Roy Lester Schneider Hospital,the.

When was this NPI record last updated?

The NPPES record for Matous Pradny was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.