MICHAEL PRATT
NPI 1497098891
Family Medicine in Burley, ID

Active since April 03, 2013PECOS Enrolled
78.85/100
CMS Quality Rating
1501 HILAND AVE, BURLEY, ID 83318(208) 677-6560 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Pratt NPPES

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

MICHAEL PRATT (NPI 1497098891) is an individual family medicine provider in Burley, Idaho, licensed in Idaho (M-13206) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497098891
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL PRATT
Location Address1501 HILAND AVEBurley, ID 83318-2688
Mailing Address1501 Hiland AveBurley, ID 83318-2688
Sole ProprietorYes
Enumeration DateApril 3, 2013
Last NPPES UpdateJuly 21, 2016
NPI 1497098891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · M-13206
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.
1501 HILAND AVE, Burley, ID 83318

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 (PECOS)

Michael Pratt 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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services41 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services30 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83318 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

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.

Dietitian, Registered
1501 HILAND AVE, CASSIA REGIONAL MEDICAL CENTER
BURLEY, ID 83318
Emergency Medicine
1501 HILAND AVE
BURLEY, ID 83318
Speech-Language Pathologist
1501 HILAND AVE
BURLEY, ID 83318
Obstetrics & Gynecology
1501 HILAND AVE
BURLEY, ID 83318
Nurse Anesthetist, Certified Registered
1501 HILAND AVE
BURLEY, ID 83318
Radiology (Diagnostic Radiology)
1501 HILAND AVE
BURLEY, ID 83318
Physical Therapist
1501 HILAND AVE
BURLEY, ID 83318
Physical Therapy Assistant
1501 HILAND AVE
BURLEY, ID 83318

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 Michael Pratt's NPI number?

The NPI number for Michael Pratt is 1497098891. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Michael Pratt located?

Michael Pratt practices at 1501 Hiland Ave, Burley, ID 83318. The listed phone number is (208) 677-6560.

What is Michael Pratt's specialty?

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

Is Michael Pratt enrolled in Medicare?

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

What insurance does Michael Pratt accept?

Health plans from Moda Health Plan, Inc. list Michael 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 Michael Pratt was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.