DONALD J PRATT M.D.
NPI 1437136660
Internal Medicine in Mission Viejo, CA

Q: What is Donald Pratt's NPI number?

The NPI number for Donald Pratt is 1437136660. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Donald Pratt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Pratt was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 29, 2005PECOS Enrolled

26800 CROWN VALLEY PKWY, SUITE 325, MISSION VIEJO, CA 92691(949) 364-6000(949) 364-9561 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2021, Oct 28, 2020, Apr 17, 2020 (3 updates tracked since 2020).

On this page

About Donald J Pratt M.d. NPPES

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

DONALD J PRATT M.D. (NPI 1437136660) is an individual internal medicine provider in Mission Viejo, California, licensed in California (G48502) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437136660

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDONALD J PRATTCredential: M.D.

Location Address26800 CROWN VALLEY PKWY, SUITE 325Mission Viejo, CA 92691-6384

Mailing Address26522 La Alameda, Suite 120Mission Viejo, CA 92691-6330 · (949) 282-1671 · Fax (949) 367-0518

Phone(949) 364-6000

Fax(949) 364-9561

Sole ProprietorNo

Enumeration DateDecember 29, 2005

Last NPPES UpdateNovember 9, 20213 updates tracked since enumeration

NPPES CertifiedNovember 9, 2021

✔ NPI 1437136660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · G48502

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

26800 CROWN VALLEY PKWY, Mission Viejo, CA 92691

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Other Identifiers 1

Medicaid00G485020CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald J Pratt M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 18

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.

438 services375 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.

117 services117 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

107 services99 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

79 services77 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.

76 services66 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

71 services71 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

50 services48 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

38 services37 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services26 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

19 services18 patients

Prostate cancer screening; prostate specific antigen test (psa) G0103

Prostate cancer screening involves a simple blood test known as the Prostate Specific Antigen (PSA) test. This test measures the level of PSA in your blood. Higher than normal levels can be an early indication of prostate issues, including cancer. It's a key tool in early detection.

19 services19 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

17 services17 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

15 services14 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

15 services15 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

15 services15 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

9 suppliers31 claims82 services$5.93 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers12 claims12 services$26.05 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.

AMY THU BUI M.D.

Specialist

26800 CROWN VALLEY PKWY, SUITE 230
MISSION VIEJO, CA 92691

Orange County (949) 542-8004

MATT AHMADI, DPM, INC.

Podiatrist (Foot & Ankle Surgery)

26800 CROWN VALLEY PKWY, SUITE 320
MISSION VIEJO, CA 92691

Orange County (949) 276-8900

MICHAEL PM TRUONG M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

26800 CROWN VALLEY PKWY, SUITE 230
MISSION VIEJO, CA 92691

Orange County (949) 364-3330

PETER C. CZULEGER M.D.

Emergency Medicine

26800 CROWN VALLEY PKWY, SUITE 150
MISSION VIEJO, CA 92691

Orange County (949) 276-2111

KATHLEEN MARY POLLOCK M.D.

Obstetrics & Gynecology

26800 CROWN VALLEY PKWY, SUITE 525
MISSION VIEJO, CA 92691

Orange County (949) 364-1040

TRICIA DAVID BATO D.D.S.

Dentist (Periodontics)

26800 CROWN VALLEY PKWY, STE 375
MISSION VIEJO, CA 92691

Orange County (949) 388-3877

DR. RICHARD JACOB M.D.

Internal Medicine (Cardiovascular Disease)

26800 CROWN VALLEY PKWY, SUITE 250
MISSION VIEJO, CA 92691

Orange County (949) 364-3570

HABIB AZAD M.D.

Internal Medicine (Nephrology)

26800 CROWN VALLEY PKWY, SUITE 250
MISSION VIEJO, CA 92691

Orange County (949) 364-0644

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 Donald Pratt's NPI number?

The NPI number for Donald Pratt is 1437136660. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Donald Pratt located?

Donald Pratt practices at 26800 Crown Valley Pkwy Suite 325, Mission Viejo, CA 92691. The listed phone number is (949) 364-6000.

What is Donald Pratt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Donald Pratt enrolled in Medicare?

Yes. Donald Pratt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donald Pratt was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.