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MS. SAMANTHA GRACE PRATS M.D.
NPI 1265895759
Obstetrics & Gynecology in New Orleans, LA

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
4828 PITT STREET, NEW ORLEANS, LA 70115(504) 236-1818 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 6, 2021, Apr 1, 2016 (2 updates tracked since 2016).

About Ms. Samantha Grace Prats M.d. NPPES

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

MS. SAMANTHA GRACE PRATS M.D. (NPI 1265895759) is an individual obstetrics & gynecology provider in New Orleans, Louisiana, licensed in Louisiana (323197) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Womans Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2016).

NPPES Registry Identity

NPI1265895759
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMS. SAMANTHA GRACE PRATSCredential: M.D.
Location Address4828 PITT STREETNew Orleans, LA 70115
Mailing Address4828 Pitt StNew Orleans, LA 70115-4013 · (504) 236-1818
Phone(504) 236-1818
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1265895759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in LA · 323197
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.
4828 PITT STREET, New Orleans, LA 70115
Open in Google Maps ↗

Other Identifiers 1

Medicaid2414526LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Ms. Samantha Grace Prats M.d. 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 ID8123441334
PECOS Enrollment IDI20200707001222
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.

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.
29 services29 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
25 services25 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Womans Hospital

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190128
Location100 Woman's WayBaton Rouge, LA 70817 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70115 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.28
Promoting Interoperability100
Improvement Activities40
Cost79.23

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 Samantha Prats's NPI number?

The NPI number for Samantha Prats is 1265895759. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Samantha Prats located?

Samantha Prats practices at 4828 Pitt Street, New Orleans, LA 70115. The listed phone number is (504) 236-1818.

What is Samantha Prats's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Samantha Prats enrolled in Medicare?

Yes. Samantha Prats 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 Samantha Prats accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Samantha Prats 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 Samantha Prats affiliated with any hospitals?

According to CMS data, Samantha Prats is affiliated with Womans Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Prats was last updated on July 6, 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.