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DR. PRAKASH CHAND M.D.
NPI 1275812497
Internal Medicine in Elyria, OH

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
125 E BROAD ST, SUITE 122, ELYRIA, OH 44035(440) 329-7350 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Prakash Chand M.d. NPPES

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

DR. PRAKASH CHAND M.D. (NPI 1275812497) is an individual internal medicine provider in Elyria, Ohio, licensed in Ohio (35.097256) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1275812497
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRAKASH CHANDCredential: M.D.
Location Address125 E BROAD ST, SUITE 122Elyria, OH 44035-6400
Mailing Address125 E Broad St, Suite 122Elyria, OH 44035-6400 · (440) 329-7350
Phone(440) 329-7350
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 4, 2011
Last NPPES UpdateJune 18, 2014
✔ NPI 1275812497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.097256
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.
125 E BROAD ST, Elyria, OH 44035
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prakash Chand 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 ID8527232891
PECOS Enrollment IDI20111122000930
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Prakash Chand reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North East Ohio Group Practice LLC
14 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
NPI 1063575462 (440) 542-5000
University Hospitals Medical Group Inc
27 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Bloomington Medical Services LLC
39 mi
Internal Medicine
1761 BEALL AVE
Wooster, OH 44691
  • Reassigned Medicare billing, Ohio enrollment
  • 126 clinicians in this Medicare group
NPI 1528246683 (330) 263-8428
Upper Valley Professional Corporation
145 mi
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
NPI 1407872518 (937) 440-7497
Mvhe Inc
147 mi
Family Medicine
4940 COTTONVILLE RD, SUITE 100
Jamestown, OH 45335
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1982657318 (937) 675-6830
Sinclair Physician Services, LLC
157 mi
Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
NPI 1063289601 (937) 208-8000
Hisey Physician Services, LLC
174 mi
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
NPI 1073380614 (513) 974-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
349 services157 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
137 services131 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
97 services96 patients
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.
81 services79 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.
77 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers62 claims62 services$19.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers65 claims65 services$110.09 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 20

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

JAMES EDWARD LISI M.D.
Specialist
125 E BROAD ST
ELYRIA, OH 44035
Lorain County (440) 329-5943
DR. MICHAEL MONROE LANGER DO
Internal Medicine (Magnetic Resonance Imaging (MRI))
125 E BROAD ST, SUITE 305
ELYRIA, OH 44035
Lorain County (440) 414-9100
MRS. AUDREY HAVENS PA-C
Physician Assistant (Medical)
125 E BROAD ST
ELYRIA, OH 44035
Lorain County (440) 406-5500
MRS. BRENDA J LIFE CNP
Nurse Practitioner (Adult Health)
125 E BROAD ST, SUITE 305
ELYRIA, OH 44035
Lorain County (440) 326-4120
DR. BASAVARAJAPPA VISWANATH M.D.
Family Medicine
125 E BROAD ST, SUITE #209
ELYRIA, OH 44035
Lorain County (440) 329-7320
OM HEALTHCARE LLC
Clinic/Center (Multi-Specialty)
125 E BROAD ST, STE 215
ELYRIA, OH 44035
Lorain County (440) 329-7305
GOVIND K MEHTA, M.D., INC.
Otolaryngology
125 E BROAD ST, SUITE 322
ELYRIA, OH 44035
Lorain County (440) 329-7345
GOVINDRAM KESHAVLAL MEHTA M.D.
Otolaryngology
125 E BROAD ST, STE 322
ELYRIA, OH 44035
Lorain County (440) 329-7345

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 Prakash Chand's NPI number?

The NPI number for Prakash Chand is 1275812497. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Prakash Chand located?

Prakash Chand practices at 125 E Broad St Suite 122, Elyria, OH 44035. The listed phone number is (440) 329-7350.

What is Prakash Chand's specialty?

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

Is Prakash Chand enrolled in Medicare?

Yes. Prakash Chand 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.

Which organizations bill Medicare for Prakash Chand's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prakash Chand reassigns Medicare benefits to 7 organizations: North East Ohio Group Practice LLC (Middleburg Heights, OH), University Hospitals Medical Group Inc (Cleveland, OH), Bloomington Medical Services LLC (Wooster, OH), Upper Valley Professional Corporation (Troy, OH), Mvhe Inc (Jamestown, OH) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prakash Chand's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prakash Chand accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Prakash Chand 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 Prakash Chand affiliated with any hospitals?

According to CMS data, Prakash Chand is affiliated with Wooster Community Hospital and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Prakash Chand was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.