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DR. DAVID E. PRUETT M.D.
NPI 1396956165
Internal Medicine - Nephrology in West Monroe, LA

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
401 THOMAS RD STE 1, WEST MONROE, LA 71292(318) 325-5435(318) 325-5495 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2024, Dec 14, 2022 (2 updates tracked since 2022).

About Dr. David E. Pruett M.d. NPPES

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

DR. DAVID E. PRUETT M.D. (NPI 1396956165) is an individual nephrology provider in West Monroe, Louisiana, licensed in Louisiana (MD.204452) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Monroe, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1396956165
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. DAVID E. PRUETTCredential: M.D.
Location Address401 THOMAS RD STE 1West Monroe, LA 71292-7903
Mailing Address401 Thomas Rd Ste 1West Monroe, LA 71292-7903 · (318) 325-5435 · Fax (318) 325-5495
Phone(318) 325-5435
Fax(318) 325-5495
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 24, 2007
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1396956165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in LA · MD.204452✔ Licensed in MS · 20439
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License T-1940 (MS)
401 THOMAS RD STE 1, West Monroe, LA 71292
Open in Google Maps ↗

Other Identifiers 1

Medicaid2152203LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Dr. David E. Pruett 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 ID6800074311
PECOS Enrollment IDI20110706000229
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

2

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

Renal Associates Of Northeast Louisiana Apmc
Same address
Nephrology
401 THOMAS RD STE 1
West Monroe, LA 71292
  • Reassigned Medicare billing, Louisiana enrollment
  • 4 clinicians in this Medicare group
NPI 1154319762 (318) 325-5435
Lsu Health Sciences Center Shreveport Faculty Group Practice
94 mi
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group
NPI 1013374222 (318) 626-0000

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 9

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.
395 services104 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
152 services56 patients
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.
61 services37 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.
56 services52 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
47 services31 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.
28 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lsu Health Monroe

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190011
Location4864 Jackson StreetMonroe, LA 71202 · Ouachita County
Emergency services Birthing friendly

Morehouse General Hospital

Acute Care Hospitals · Bastrop, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190116
Location323 W WalnutBastrop, LA 71220 · Morehouse County
Emergency services

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Franklin Medical Center

Acute Care Hospitals · Winnsboro, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190140
Location2106 Loop RoadWinnsboro, LA 71295 · Franklin County
Emergency services

Richland Parish Hospital-Delhi

Critical Access Hospitals · Delhi, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191323
Location407 Cincinnati StreetDelhi, LA 71232 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71292 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
28%25 patients2/55-star benchmark: 95%
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.
50%2,031 patients1/55-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.
93%132 patients4/55-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.
54%157 patients1/55-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.
93%350 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
19%270 patients1/55-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…
21%339 patients1/55-star benchmark: 97%
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 tobacco: 76% · 199 patients
84%199 patients
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…
93%350 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%350 patients1/55-star benchmark: 59%
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% · 270 patients
0%270 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 5

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

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
401 THOMAS RD STE 1
WEST MONROE, LA 71292
Ouachita Parish (318) 855-1298
RENAL ASSOCIATES OF NORTHEAST LOUISIANA APMC
Internal Medicine (Nephrology)
401 THOMAS RD STE 1
WEST MONROE, LA 71292
Ouachita Parish (318) 325-5435
DR. LARRY T OLINDE MD
Internal Medicine (Nephrology)
401 THOMAS RD STE 1
WEST MONROE, LA 71292
Ouachita Parish (318) 325-5435
SARA ELIZABETH CHAPMAN FNP
Internal Medicine (Nephrology)
401 THOMAS RD STE 1
WEST MONROE, LA 71292
Ouachita Parish (318) 325-5435
DR. NELSON B YOUNT MD
Internal Medicine (Nephrology)
401 THOMAS RD STE 1
WEST MONROE, LA 71292
Ouachita Parish (318) 325-5435

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 David Pruett's NPI number?

The NPI number for David Pruett is 1396956165. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is David Pruett located?

David Pruett practices at 401 Thomas Rd Ste 1, West Monroe, LA 71292. The listed phone number is (318) 325-5435.

What is David Pruett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is David Pruett enrolled in Medicare?

Yes. David Pruett 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 David Pruett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Pruett reassigns Medicare benefits to 2 organizations: Renal Associates Of Northeast Louisiana Apmc (West Monroe, LA) and Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA). 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 David Pruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Pruett accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list David Pruett 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 David Pruett affiliated with any hospitals?

According to CMS data, David Pruett is affiliated with Ochsner Lsu Health Monroe, Morehouse General Hospital, St Francis Medical Center, Franklin Medical Center and Richland Parish Hospital-Delhi.

When was this NPI record last updated?

The NPPES record for David Pruett was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.