ABIMBOLA B PRATT M.D.
NPI 1386940765
Surgery - Trauma Surgery in Jersey City, NJ

Q: What is Abimbola Pratt's NPI number?

The NPI number for Abimbola Pratt is 1386940765. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Q: What is Abimbola Pratt's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Q: When was this NPI record last updated?

The NPPES record for Abimbola Pratt was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 02, 2011PECOS EnrolledAccepts Medicare Assignment

75.8/100

CMS Quality Rating

55 BRIGHT ST, APT 3, JERSEY CITY, NJ 07302(858) 692-1657 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2023, Sep 21, 2016 (2 updates tracked since 2016).

On this page

About Abimbola B Pratt M.d. NPPES

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

ABIMBOLA B PRATT M.D. (NPI 1386940765) is an individual trauma surgery provider in Jersey City, New Jersey, licensed in New Jersey (25MA09650900) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (2009).

NPPES Registry Identity

NPI1386940765

Entity TypeIndividualMale

Primary Taxonomy2086S0127X

Provider Legal NameABIMBOLA B PRATTCredential: M.D.

Location Address55 BRIGHT ST, APT 3Jersey City, NJ 07302-4348

Mailing Address1945 State Route 33Neptune, NJ 07753-4859 · (732) 776-4949 · Fax (732) 776-4509

Phone(858) 692-1657

Sole ProprietorYes

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2009

Enumeration DateFebruary 2, 2011

Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1386940765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

Licenses✔ Licensed in NJ · 25MA09650900✔ Licensed in NY · 285970✔ Licensed in PA · MD482413

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedSurgeryTaxonomy 208600000X · License 285970 (NY), 25MA09650900 (NJ), MD482413 (PA)

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 285970 (NY), 25MA09650900 (NJ), MD482413 (PA)

55 BRIGHT ST, Jersey City, NJ 07302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Abimbola B Pratt 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 ID840579298

PECOS Enrollment IDI20161108001083

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

Medicare enrollment records show Abimbola Pratt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC

26 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

Rutgers Health-Rwj Neurosurgery Faculty

31 mi

Surgery

110 REHILL AVE
Somerville, NJ 08876

Reassigned Medicare billing, New Jersey enrollment
28 clinicians in this Medicare group

NPI 1548356926 (908) 685-2856

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 12

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.

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.

256 services122 patients

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.

172 services98 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

46 services44 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

46 services44 patients

Ultrasound scan of chest 76604

An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.

45 services44 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.

39 services36 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.

30 services17 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

20 services17 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

19 services16 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.

17 services17 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

15 services15 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310113

Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County

Emergency services Birthing friendly

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.

75.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.65

Promoting Interoperability

100

Improvement Activities

Cost

50.69

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 Abimbola Pratt's NPI number?

The NPI number for Abimbola Pratt is 1386940765. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Abimbola Pratt located?

Abimbola Pratt practices at 55 Bright St Apt 3, Jersey City, NJ 07302. The listed phone number is (858) 692-1657.

What is Abimbola Pratt's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Abimbola Pratt enrolled in Medicare?

Yes. Abimbola Pratt 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 Abimbola Pratt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abimbola Pratt reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Rutgers Health-Rwj Neurosurgery Faculty (Somerville, NJ). 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 Abimbola Pratt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abimbola Pratt accept?

Health plans from Oscar Health list Abimbola Pratt 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 Abimbola Pratt affiliated with any hospitals?

According to CMS data, Abimbola Pratt is affiliated with Raritan Bay Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Jfk Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Abimbola Pratt was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.