JAMES PRATTAS MD
NPI 1316912157
Emergency Medicine in Surfside, FL

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
93.74/100
CMS Quality Rating
9016 BAY DR, SURFSIDE, FL 33154(305) 868-4804(305) 865-0981 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Prattas Md NPPES

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

JAMES PRATTAS MD (NPI 1316912157) is an individual emergency medicine provider in Surfside, Florida, licensed in Florida (ME0068786) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1316912157
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES PRATTASCredential: MD
Location Address9016 BAY DRSurfside, FL 33154-3212
Mailing Address9016 Bay DrSurfside, FL 33154-3212 · (305) 868-4804 · Fax (305) 865-0981
Fax(305) 865-0981
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1316912157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · ME0068786
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

9016 BAY DR, Surfside, FL 33154

Other Identifiers 2

Medicare UPING26747FL
Medicare ID-Type Unspecified27880CFL · Medicare

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

James Prattas 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 ID2062400625
PECOS Enrollment IDI20050627001040
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
43 services43 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
35 services35 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33154 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

93.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability76
Improvement Activities40

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 James Prattas's NPI number?

The NPI number for James Prattas is 1316912157. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is James Prattas located?

James Prattas practices at 9016 Bay Dr, Surfside, FL 33154. The listed phone number is (305) 868-4804.

What is James Prattas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Prattas enrolled in Medicare?

Yes. James Prattas 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.

Is James Prattas affiliated with any hospitals?

According to CMS data, James Prattas is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for James Prattas was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.