DELICIA JANELLE PRUITT MD
NPI 1407844251
Family Medicine in Saginaw, MI

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
85.83/100
CMS Quality Rating
1575 CONCENTRIC BLVD, SAGINAW, MI 48604(989) 746-7500 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2021, Aug 24, 2017 (2 updates tracked since 2017).

About Delicia Janelle Pruitt Md NPPES

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

DELICIA JANELLE PRUITT MD (NPI 1407844251) is an individual family medicine provider in Saginaw, Michigan, licensed in Michigan (4301076054) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Wayne State University School Of Medicine (2000).

NPPES Registry Identity

NPI1407844251
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDELICIA JANELLE PRUITTCredential: MD
Location Address1575 CONCENTRIC BLVDSaginaw, MI 48604-9311
Mailing Address1000 Houghton AveSaginaw, MI 48602 · (989) 746-7500 · Fax (989) 583-6955
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2000
Enumeration DateOctober 6, 2005
Last NPPES UpdateSeptember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
NPI 1407844251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301076054
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1575 CONCENTRIC BLVD, Saginaw, MI 48604

Other Identifiers 13

Other1012438Mclaren Health Plan
Other4686660MI · Molina Health Care
OtherP33641FMI · Blue Care Network
Other0997569MI · Healthplus
Other296MI · Community Choice
Other381908328Tricare
Other381908328Hcap
Other080G310660MI · Bcbs
Other142119Great Lakes Health Plan
Other381908328First Health
Medicaid4686660MI
Other7484518Aetna
Other381908328Ppom

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

Delicia Janelle Pruitt 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 ID2961464243
PECOS Enrollment IDI20041029000030
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.
44 services22 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.
23 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.73
Promoting Interoperability82
Improvement Activities40
Cost64.93

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers17 claims58 services$6.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims26 services$1.19 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers13 claims13 services$3.55 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.

General Acute Care Hospital
1575 CONCENTRIC BLVD
SAGINAW, MI 48604
Family Medicine
1575 CONCENTRIC BLVD
SAGINAW, MI 48604
Family Medicine
1575 CONCENTRIC BLVD, SUITE 1
SAGINAW, MI 48604
Family Medicine
1575 CONCENTRIC BLVD
SAGINAW, MI 48604
Family Medicine
1575 CONCENTRIC BLVD
SAGINAW, MI 48604
Family Medicine
1575 CONCENTRIC BLVD
SAGINAW, MI 48604
Family Medicine
1575 CONCENTRIC BLVD
SAGINAW, MI 48604
Family Medicine
1575 CONCENTRIC BLVD
SAGINAW, MI 48604

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 Delicia Pruitt's NPI number?

The NPI number for Delicia Pruitt is 1407844251. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Delicia Pruitt located?

Delicia Pruitt practices at 1575 Concentric Blvd, Saginaw, MI 48604. The listed phone number is (989) 746-7500.

What is Delicia Pruitt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Delicia Pruitt enrolled in Medicare?

Yes. Delicia Pruitt 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 Delicia Pruitt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Delicia Pruitt 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 Delicia Pruitt affiliated with any hospitals?

According to CMS data, Delicia Pruitt is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Delicia Pruitt was last updated on September 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.