DR. STUART H. PRATHER III M.D.
NPI 1457315491
Radiology - Diagnostic Radiology in Evans, GA


Quality Rating: 65.46 out of 100 score

NPI Status: Active since April 14, 2006

Contact Information

4350 TOWNE CENTRE DR
SUITE 1000
EVANS, GA
ZIP 30809
Phone: (706) 868-3940

Get Directions Write a Review

  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology
  • Medicare Quality Reporting

About STUART PRATHER

This page provides the complete NPI Profile along with additional information for Stuart Prather, a provider established in Evans, Georgia with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1457315491 assigned on April 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 027635 (GA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1457315491
Provider Name
DR. STUART H. PRATHER III M.D.
Gender
Male
Entity Type
Individual
Location Address
4350 TOWNE CENTRE DR SUITE 1000 EVANS, GA 30809
Location Phone
(706) 868-3940
Mailing Address
1125 TROUPE ST P.O. BOX 3845 AUGUSTA, GA 30914
Mailing Phone
(706) 737-4575
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
04-14-2006
Last Update Date
10-31-2013
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
027635
License State
GA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085B0100XAllopathic & Osteopathic Physicians

Radiology
Body Imaging

027635 (GA)
22085D0003XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Neuroimaging

027635 (GA)
32085N0700XAllopathic & Osteopathic Physicians

Radiology
Neuroradiology

027635 (GA)
42085N0904XAllopathic & Osteopathic Physicians

Radiology
Nuclear Radiology

027635 (GA)
52085P0229XAllopathic & Osteopathic Physicians

Radiology
Pediatric Radiology

027635 (GA)
62085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

027635 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1265540314OTHER (01)NPI - BROWN & RADIOLOGY
00344341IMEDICAID (05)GA 
00344341KMEDICAID (05)GA 
300074339MEDICARE PIN (08)GA 
00344341NMEDICAID (05)GA 
300085211MEDICARE PIN (08)GA 
003443417JMEDICAID (05)GA 
00344341EMEDICAID (05)GA 
00344341HMEDICAID (05)GA 
00344341MMEDICAID (05)GA 
30BDGRSMEDICARE PIN (08)GA 
10059162OTHER (01)AMERIGROUP
00344341CMEDICAID (05)GA 
00344341FMEDICAID (05)GA 
00344341GMEDICAID (05)GA 
00344341PMEDICAID (05)GA 
G27635MEDICAID (05)SC 
300074334MEDICARE PIN (08)GA 
300074337MEDICARE PIN (08)GA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ct scan head or brain without contrast

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

This service was performed 21 times for 21 patients

Ct scan of abdomen and pelvis before and after contrast

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

This service was performed 13 times for 13 patients

Ct scan of abdomen and pelvis without contrast

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

This service was performed 13 times for 12 patients

Ct scan of abdomen and pelvis without contrast

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

This service was performed 32 times for 32 patients

Diagnostic mammography of 1 breast

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

This service was performed 19 times for 18 patients

Dxa bone density measurement of hip, pelvis, spine

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

This service was performed 11 times for 11 patients

Limited ultrasound scan of 1 breast

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

This service was performed 15 times for 15 patients

Screening 3d breast mammography

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

This service was performed 78 times for 78 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 93 times for 93 patients

X-ray of abdomen, 1 view

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

This service was performed 52 times for 42 patients

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 314 times for 269 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 54 times for 54 patients

X-ray of hip, 1 view

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

This service was performed 11 times for 11 patients

X-ray of knee, 1-2 views

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

This service was performed 22 times for 19 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 11 times for 11 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 65.46, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 65.46 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 65

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 49.06

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 49.06

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

Reviews for DR. STUART H. PRATHER III M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457315491, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 6 + 1 + 1 + 0 + 4 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1457315491.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
4350 TOWNE CENTRE DR, STE 2000
EVANS, GA 30809
Podiatrist (Foot & Ankle Surgery)
4350 TOWNE CENTRE DR, SUITE 3000
EVANS, GA 30809
Internal Medicine
4350 TOWNE CENTRE DR, SUITE 2000
EVANS, GA 30809
Surgery (Vascular Surgery)
4350 TOWNE CENTRE DR, STE 2000
EVANS, GA 30809
Anesthesiology
4350 TOWNE CENTRE DR, SUITE 2000B
EVANS, GA 30809
Specialist
4350 TOWNE CENTRE DR, SUITE 2000B
EVANS, GA 30809
Surgery (Vascular Surgery)
4350 TOWNE CENTRE DR, SUITE 2000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809
Radiology (Diagnostic Radiology)
4350 TOWNE CENTRE DR, SUITE 1000
EVANS, GA 30809

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457315491, enumerated as an "individual" on April 14, 2006.

The provider is located at 4350 TOWNE CENTRE DR SUITE 1000 EVANS, GA 30809 and the phone number is (706) 868-3940.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare, Medicaid and Amerigroup. Please consult your insurance carrier or call the provider to verify.