STEVEN G PRATT MD
NPI 1407963044
Ophthalmology in La Jolla, CA

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9850 GENESEE AVE, SUITE 310, LA JOLLA, CA 92037(858) 457-3010(858) 457-0028 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steven G Pratt Md NPPES

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

STEVEN G PRATT MD (NPI 1407963044) is an individual ophthalmology provider in La Jolla, California, licensed in California (G323790) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1975).

NPPES Registry Identity

NPI1407963044
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTEVEN G PRATTCredential: MD
Location Address9850 GENESEE AVE, SUITE 310La Jolla, CA 92037-1224
Mailing Address9850 Genesee Ave, Suite 310La Jolla, CA 92037-1224 · (858) 457-3010 · Fax (858) 457-0028
Fax(858) 457-0028
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1975
Enumeration DateAugust 23, 2006
Last NPPES UpdateMay 6, 2008
NPI 1407963044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G323790
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
9850 GENESEE AVE, La Jolla, CA 92037

Other Identifiers 3

Medicare UPINA91442CA
Medicaid00G323790CA
Medicare PINWG32379ECA

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

Steven G Pratt 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 ID8224093778
PECOS Enrollment IDI20041123000913
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 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.

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.
212 services106 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
81 services79 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.
60 services46 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
56 services55 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
43 services32 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
35 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Marriage & Family Therapist
9850 GENESEE AVE, SUITE 970
LA JOLLA, CA 92037
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
Plastic Surgery
9850 GENESEE AVE, SUITE 330
LA JOLLA, CA 92037
Clinical Exercise Physiologist
9850 GENESEE AVE, SUITE 730
LA JOLLA, CA 92037
Nurse Practitioner (Family)
9850 GENESEE AVE
LA JOLLA, CA 92037
Internal Medicine
9850 GENESEE AVE, STE 570
LA JOLLA, CA 92037
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
Otolaryngology
9850 GENESEE AVE, STE 710
LA JOLLA, CA 92037

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 Steven Pratt's NPI number?

The NPI number for Steven Pratt is 1407963044. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Steven Pratt located?

Steven Pratt practices at 9850 Genesee Ave Suite 310, La Jolla, CA 92037. The listed phone number is (858) 457-3010.

What is Steven Pratt's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Steven Pratt enrolled in Medicare?

Yes. Steven 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.

What insurance does Steven Pratt accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Steven 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.

When was this NPI record last updated?

The NPPES record for Steven Pratt was last updated on May 6, 2008. 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.