DR. GUSTAVO A PRADA M.D. - NPI 1326337759 - Family Medicine in Bradenton, FL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Dr. Gustavo A Prada M.d. NPPES

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

DR. GUSTAVO A PRADA M.D. (NPI 1326337759) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (ME120490) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1326337759

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GUSTAVO A PRADACredential: M.D.

Location Address1505 53RD AVE EBradenton, FL 34203-4249

Mailing Address1505 53rd Ave EBradenton, FL 34203-4249 · (941) 357-7950 · Fax (941) 840-1003

Phone(941) 357-7950

Fax(941) 840-1003

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 6, 2011

Last NPPES UpdateMay 30, 20232 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1326337759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME120490

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1505 53RD AVE E, Bradenton, FL 34203

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Other Identifiers 1

Medicaid013637500FL

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

Dr. Gustavo A Prada 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 ID1254576895

PECOS Enrollment IDI20141204001033

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34203 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 13

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

SHALINI HEMACHANDRAN

Internal Medicine