MS. CARRIE JO PRATHER DO
NPI 1518108844
Hospitalist in Fort Myers, FL

NPI Status: Active since March 17, 2009

Contact Information

2776 CLEVELAND AVE
FORT MYERS, FL
ZIP 33901
Phone: (239) 343-2837
Fax: (239) 343-3164

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  • Individual
  • Female
  • Hospitalist
  • Accepts Insurance
  • PECOS Enrolled

About CARRIE PRATHER

This page provides the complete NPI Profile along with additional information for Carrie Prather, a provider established in Fort Myers, Florida with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1518108844 assigned on March 2009. The practitioner's primary taxonomy code is 208M00000X with license number OS11243 (FL). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1518108844
Provider Name
MS. CARRIE JO PRATHER DO
Gender
Female
Entity Type
Individual
Location Address
2776 CLEVELAND AVE FORT MYERS, FL 33901
Location Phone
(239) 343-2837
Location Fax
(239) 343-3164
Mailing Address
688 VERONA CT WESTON, FL 33326
Mailing Phone
(615) 371-5744
Mailing Fax
(239) 343-3164
Is Sole Proprietor?
No
Enumeration Date
03-17-2009
Last Update Date
05-03-2017
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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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS11243
License State
FL
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

OS11243 (FL)

Insurance Plans Accepted

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

  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO
  • Bronze Simple Chronic Care CKM | MercyOne - EPO
  • Bronze Simple Diabetes | MercyOne - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | MercyOne - EPO
  • Gold Elite - EPO
  • Gold Elite | MercyOne - EPO
  • Secure - EPO
  • Secure | MercyOne - EPO
  • Silver Classic - EPO
  • Silver Classic | MercyOne - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | MercyOne - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO

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

Medicare Participation & PECOS Enrollment Status

Carrie Prather is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 85 times for 24 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 27 times for 26 patients

Hospital observation care on day of discharge

Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.

This service was performed 19 times for 19 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 14 times for 14 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 15 times for 15 patients

Initial hospital observation care per day, typically 70 minutes

This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.

This service was performed 22 times for 22 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33901 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $135.56
  • Minimum New Patient Price $58.56
  • Maximum New Patient Price $179.05
  • Average New Patient Copayment $33.89
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.21
  • Minimum Established Patient Price $18.44
  • Maximum Established Patient Price $144.68
  • Average Established Patient Copayment $25.8
  • Minimum Established Patient Copayment $4.61
  • Maximum Established Patient Copayment $36.17

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1518108844, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
4
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 1 → 2 1 → 2 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 2 + 8 + 2 + 0 + 1 + 6 + 8 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1518108844.

Other Providers at the Same Location


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

Nurse Practitioner
2776 CLEVELAND AVE
FT MYERS, FL 33901
Nurse Practitioner
2776 CLEVELAND AVE
FT MYERS, FL 33901
Internal Medicine
2776 CLEVELAND AVE, CARE MANAGEMENT DEPARTMENT, 8TH FLOOR
FT MYERS, FL 33901
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Internal Medicine
2776 CLEVELAND AVE, SUITE 8228
FORT MYERS, FL 33901
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Nurse Practitioner
2776 CLEVELAND AVE
FORT MYERS, FL 33901
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Speech-Language Pathologist
2776 CLEVELAND AVE, LEE MEMORIAL HOSPITAL
FORT MYERS, FL 33901
Hospitalist
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Psychiatric Unit
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Speech-Language Pathologist
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Pharmacist
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Physician Assistant (Surgical)
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Pharmacist
2776 CLEVELAND AVE, PHARMACY DEPARTMENT
FORT MYERS, FL 33901
Pharmacist (Pharmacotherapy)
2776 CLEVELAND AVE, PHARMACY
FORT MYERS, FL 33901
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Pharmacist
2776 CLEVELAND AVE
FORT MYERS, FL 33901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518108844, enumerated as an "individual" on March 17, 2009.

The provider is located at 2776 CLEVELAND AVE FORT MYERS, FL 33901 and the phone number is (239) 343-2837.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida. Please consult your insurance carrier or call the provider to verify.