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DR. PRATAP SARAF M.D.
NPI 1356317242
Internal Medicine - Pulmonary Disease in Arcadia, CA

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
301 W HUNTINGTON DR, SUITE 607, ARCADIA, CA 91007(626) 445-8961(626) 445-0546 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pratap Saraf M.d. NPPES

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

DR. PRATAP SARAF M.D. (NPI 1356317242) is an individual pulmonary disease provider in Arcadia, California, licensed in California (A30943) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1972).

NPPES Registry Identity

NPI1356317242
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PRATAP SARAFCredential: M.D.
Location Address301 W HUNTINGTON DR, SUITE 607Arcadia, CA 91007-3462
Mailing Address301 W Huntington Dr, Suite 607Arcadia, CA 91007-3462 · (626) 445-8961 · Fax (626) 445-0546
Phone(626) 445-8961
Fax(626) 445-0546
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateFebruary 28, 2006
Last NPPES UpdateMarch 20, 2013
✔ NPI 1356317242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A30943
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A30943 (CA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License A30943 (CA)
301 W HUNTINGTON DR, Arcadia, CA 91007
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Other Identifiers 4

Medicare UPINA87484CA
Medicare PINA30943CA
Medicaid00A309430CA
Medicare PIN110021097CA

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. Pratap Saraf 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 ID2860538618
PECOS Enrollment IDI20091022000269
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.

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.
695 services348 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91007 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%3,217 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%360 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
68%120 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%807 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
35%818 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
90%1,577 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
53%897 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 1,129 patients
Patients tobacco: 12% · 60 patients
96%1,129 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%807 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%807 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 818 patients
5%818 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 24

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers260 claims260 services$33.43 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers151 claims151 services$74.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers148 claims397 services$28.46 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers147 claims792 services$15.82 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
14 suppliers176 claims974 services$12.79 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers335 claims335 services$46.02 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.

GREGORY T. HEINEN, M.D., INC
Orthopaedic Surgery
301 W HUNTINGTON DR, SUITE 617
ARCADIA, CA 91007
Los Angeles County (626) 574-9745
MRS. HYMAVATHI VELKURU M.D.
Pediatrics
301 W HUNTINGTON DR, SUITE #327
ARCADIA, CA 91007
Los Angeles County (626) 447-8138
PAI-HSIANG CHEN D.O
Internal Medicine
301 W HUNTINGTON DR, SUITE 310
ARCADIA, CA 91007
Los Angeles County (626) 446-2360
DR. JAMES YU CHANG SHEN M.D.
Internal Medicine (Hematology & Oncology)
301 W HUNTINGTON DR
ARCADIA, CA 91007
Los Angeles County (626) 218-9840
TIMOTHY A PHAM, M.D., A MEDICAL CORPORATION
Clinic/Center (Medical Specialty)
301 W HUNTINGTON DR, 206
ARCADIA, CA 91007
Los Angeles County (626) 461-0360
DR. DAVID KIM BAE DPM
Podiatrist
301 W HUNTINGTON DR, SUITE 300
ARCADIA, CA 91007
Los Angeles County (626) 821-9323
DR. BRADFORD H HACK M.D.
Orthopaedic Surgery
301 W HUNTINGTON DR, SUITE 408
ARCADIA, CA 91007
Los Angeles County (626) 821-0707
WILLIAM H. WRIGHT, M.D.
Neurological Surgery
301 W HUNTINGTON DR, SUITE 407
ARCADIA, CA 91007
Los Angeles County (626) 821-3440

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 Pratap Saraf's NPI number?

The NPI number for Pratap Saraf is 1356317242. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Pratap Saraf located?

Pratap Saraf practices at 301 W Huntington Dr Suite 607, Arcadia, CA 91007. The listed phone number is (626) 445-8961.

What is Pratap Saraf's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pratap Saraf enrolled in Medicare?

Yes. Pratap Saraf 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.

When was this NPI record last updated?

The NPPES record for Pratap Saraf was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.