LAWRENCE PRABLEK MD
NPI 1407829344
Hospitalist in Saint Louis, MO

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
3015 N BALLAS RAOD, SAINT LOUIS, MO 63131(314) 996-5000(314) 317-0606 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence Prablek Md NPPES

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

LAWRENCE PRABLEK MD (NPI 1407829344) is an individual hospitalist provider in Saint Louis, Missouri, licensed in Missouri (R2P07) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Washington, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1988).

NPPES Registry Identity

NPI1407829344
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameLAWRENCE PRABLEKCredential: MD
Location Address3015 N BALLAS RAODSaint Louis, MO 63131
Mailing Address12125 Woodcrest Executive Dr, Suite 220Saint Louis, MO 63141-5001 · (314) 317-0600 · Fax (314) 317-0606
Fax(314) 317-0606
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1988
Enumeration DateFebruary 10, 2006
Last NPPES UpdateOctober 17, 2007
NPI 1407829344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MO · R2P07
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License R2P07 (MO)
3015 N BALLAS RAOD, Saint Louis, MO 63131

Other Identifiers 1

Medicare UPINF64147MO

Accepted 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

Lawrence Prablek Md 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 ID1557313780
PECOS Enrollment IDI20050216000697
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
104 services103 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.
79 services76 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services42 patients
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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Mercy Hospital Lincoln

Critical Access Hospitals · Troy, MO
OwnershipGovernment - Local
CMS Certification Number261319
Location1000 East Cherry StreetTroy, MO 63379 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%42 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.

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 Lawrence Prablek's NPI number?

The NPI number for Lawrence Prablek is 1407829344. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Lawrence Prablek located?

Lawrence Prablek practices at 3015 N Ballas Raod, Saint Louis, MO 63131. The listed phone number is (314) 996-5000.

What is Lawrence Prablek's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Lawrence Prablek enrolled in Medicare?

Yes. Lawrence Prablek 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 Lawrence Prablek accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Lawrence Prablek 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 Lawrence Prablek affiliated with any hospitals?

According to CMS data, Lawrence Prablek is affiliated with Mercy Hospital Washington and Mercy Hospital Lincoln.

When was this NPI record last updated?

The NPPES record for Lawrence Prablek was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.