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DR. PRAVEEN CHANDRA PATHAK M.D.
NPI 1386613867
Psychiatry & Neurology - Psychiatry in Springfield, MO

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804(417) 761-5000(417) 761-5011 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2025, Feb 3, 2022, Jul 8, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Praveen Chandra Pathak M.d. NPPES

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

DR. PRAVEEN CHANDRA PATHAK M.D. (NPI 1386613867) is an individual psychiatry provider in Springfield, Missouri, licensed in Missouri (2021047776) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ozarks Healthcare, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1386613867
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PRAVEEN CHANDRA PATHAKCredential: M.D.
Location Address1300 E BRADFORD PKWYSpringfield, MO 65804-4264
Mailing AddressPo Box 844715Kansas City, MO 64184-4715 · (417) 761-5214 · Fax (417) 761-5065
Phone(417) 761-5000
Fax(417) 761-5011
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 16, 2006
Last NPPES UpdateFebruary 21, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1386613867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MO · 2021047776
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1300 E BRADFORD PKWY, Springfield, MO 65804
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Other Identifiers 1

Medicaid001903543PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Cox HealthPlans and more.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

Dr. Praveen Chandra Pathak 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 ID9638190986
PECOS Enrollment IDI20230807003808
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 5

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.
80 services26 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

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.
100%1,551 patients5/55-star benchmark: 100%
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…
100%1,110 patients5/55-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.

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.

DR. CHARLES ALAN THOMAS M.D.
Psychiatry & Neurology (Psychiatry)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
MICHAEL D COTTER MS, LPC
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
COURTNEY ANNE JOHNSON MSW, LCSW
Social Worker (Clinical)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
JULIA MARIE HOWARD LPC
Counselor (Professional)
1300 E BRADFORD PKWY, BURRELL BEHAVIORAL HEALTH
SPRINGFIELD, MO 65804
Greene County (417) 269-5400
MR. AARON JOIFRITA PLPC
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 269-5400
ROHIT SAHA MD
Psychiatry & Neurology (Psychiatry)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
TIFFANY A SKINNER PLPC
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000
ALYSON N SHAW MS, LPC
Counselor (Professional)
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Greene County (417) 761-5000

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 Praveen Pathak's NPI number?

The NPI number for Praveen Pathak is 1386613867. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Praveen Pathak located?

Praveen Pathak practices at 1300 E Bradford Pkwy, Springfield, MO 65804. The listed phone number is (417) 761-5000.

What is Praveen Pathak's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Praveen Pathak enrolled in Medicare?

Yes. Praveen Pathak 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 Praveen Pathak accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Cox HealthPlans, Health Advantage and Medica and 3 other insurers list Praveen Pathak 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 Praveen Pathak affiliated with any hospitals?

According to CMS data, Praveen Pathak is affiliated with Ozarks Healthcare.

When was this NPI record last updated?

The NPPES record for Praveen Pathak was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.