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PRATISHTHA MISHRA BDS, MDS, MS
NPI 1477112043
Dentist - Orofacial Pain in Lexington, KY

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
UK COLLEGE OF DENTISTRY 800 ROSE STREET, LEXINGTON, KY 40536(859) 323-3368 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2020, Nov 12, 2019, Jul 10, 2019 and 1 more (4 updates tracked since 2019).

About Pratishtha Mishra Bds, Mds, Ms NPPES

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

PRATISHTHA MISHRA BDS, MDS, MS (NPI 1477112043) is an individual orofacial pain provider in Lexington, Kentucky, licensed in Kentucky (9684) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1477112043
Entity TypeIndividualFemale
Primary Taxonomy1223X2210X
Provider Legal NamePRATISHTHA MISHRACredential: BDS, MDS, MS
Location AddressUK COLLEGE OF DENTISTRY 800 ROSE STREETLexington, KY 40536-0001
Mailing AddressUk College Of Dentistry 800 Rose StreetLexington, KY 40536-0001 · (859) 323-3368
Phone(859) 323-3368
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 7, 2019
Last NPPES UpdateJuly 20, 20204 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1477112043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License✔ Licensed in KY · 9684
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentistTaxonomy 122300000X · License 9684 (KY)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 9684 (KY)
UK COLLEGE OF DENTISTRY 800 ROSE STREET, Lexington, KY 40536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Pratishtha Mishra Bds, Mds, Ms 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 ID9739417924
PECOS Enrollment IDI20190826003976
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 2

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.
17 services11 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Pratishtha Mishra's NPI number?

The NPI number for Pratishtha Mishra is 1477112043. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Pratishtha Mishra located?

Pratishtha Mishra practices at Uk College Of Dentistry 800 Rose Street, Lexington, KY 40536. The listed phone number is (859) 323-3368.

What is Pratishtha Mishra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Pratishtha Mishra enrolled in Medicare?

Yes. Pratishtha Mishra 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 Pratishtha Mishra accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Pratishtha Mishra 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 Pratishtha Mishra was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.