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MR. ANDREW MARTIN PRATT PHYSICIAN ASSISTANT
NPI 1265860159
Physician Assistant in San Antonio, TX

Active since October 31, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4045 BROADWAY, SAN ANTONIO, TX 78209(210) 826-1830 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2022, Apr 17, 2018 (2 updates tracked since 2018).

About Mr. Andrew Martin Pratt Physician Assistant NPPES

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

MR. ANDREW MARTIN PRATT PHYSICIAN ASSISTANT (NPI 1265860159) is an individual physician assistant in San Antonio, Texas and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1265860159
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ANDREW MARTIN PRATTCredential: PHYSICIAN ASSISTANT
Location Address4045 BROADWAYSan Antonio, TX 78209-6313
Mailing Address800 County Road 117Round Rock, TX 78665-7484 · (210) 488-5327 · Fax (210) 404-9466
Phone(210) 826-1830
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 31, 2013
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1265860159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4045 BROADWAY, San Antonio, TX 78209
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Secondary Practice Location 1

Location 11106 Clayton Ln Ste 240WAustin, TX 78723-2478 · Phone (737) 471-5402

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc. and more.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

Mr. Andrew Martin Pratt Physician Assistant 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 ID42539686
PECOS Enrollment IDI20150504002106
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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
3,852 services192 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,108 services184 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
69 services66 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
55 services15 patients
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.
48 services12 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78209 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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

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 Andrew Pratt's NPI number?

The NPI number for Andrew Pratt is 1265860159. It was assigned to this individual provider in the NPPES registry on October 31, 2013.

Where is Andrew Pratt located?

Andrew Pratt practices at 4045 Broadway, San Antonio, TX 78209. The listed phone number is (210) 826-1830.

What is Andrew Pratt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Pratt enrolled in Medicare?

Yes. Andrew Pratt 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 Andrew Pratt accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc. and UnitedHealthcare list Andrew Pratt 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.

When was this NPI record last updated?

The NPPES record for Andrew Pratt was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.