DR. ANTONIS PRATSOS M.D.
NPI 1548263361
Internal Medicine - Interventional Cardiology in Broomall, PA

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
1999 SPROUL RD, STE 21, BROOMALL, PA 19008(610) 353-6400(610) 356-1204 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Antonis Pratsos M.d. NPPES

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

DR. ANTONIS PRATSOS M.D. (NPI 1548263361) is an individual interventional cardiology provider in Broomall, Pennsylvania, licensed in Pennsylvania (MD419056) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1548263361
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. ANTONIS PRATSOSCredential: M.D.
Location Address1999 SPROUL RD, STE 21Broomall, PA 19008-3508
Mailing Address1999 Sproul Rd Ste 25Broomall, PA 19008-3508 · (610) 353-6400 · Fax (610) 356-1204
Fax(610) 356-1204
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 24, 2005
Last NPPES UpdateSeptember 9, 2019
NPI 1548263361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in PA · MD419056
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1999 SPROUL RD, Broomall, PA 19008

Other Identifiers 7

Other231718130PA · Cigna
Other231718130PA · United Healthcare
OtherCF6196PA · Railroad Medicare
Other2099070000Keystone
Medicaid0019212830001PA
Other1412018PA · Blue Shield
Other231718130PA · T Ricare

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

Dr. Antonis Pratsos M.d. 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 ID5799748125
PECOS Enrollment IDI20041108000307
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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
567 services461 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
239 services187 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
91 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
87 services59 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
83 services69 patients
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978
This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.
76 services73 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19008 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%225 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%116 patients5/55-star benchmark: 100%
Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)
100%511 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
91%22 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
1999 SPROUL RD, SUITE 21
BROOMALL, PA 19008
Urology
1999 SPROUL RD, SUITES 12 AND 16
BROOMALL, PA 19008
Internal Medicine (Cardiovascular Disease)
1999 SPROUL RD, STE21
BROOMALL, PA 19008
Family Medicine
1999 SPROUL RD, STE 21
BROOMALL, PA 19008
Internal Medicine (Cardiovascular Disease)
1999 SPROUL RD, STE 21
BROOMALL, PA 19008
Registered Nurse (Home Health)
1999 SPROUL RD
BROOMALL, PA 19008
Physical Therapist
1999 SPROUL RD, SUITE 10
BROOMALL, PA 19008
Physician Assistant (Medical)
1999 SPROUL RD, STE 25
BROOMALL, PA 19008

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 Antonis Pratsos's NPI number?

The NPI number for Antonis Pratsos is 1548263361. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Antonis Pratsos located?

Antonis Pratsos practices at 1999 Sproul Rd Ste 21, Broomall, PA 19008. The listed phone number is (610) 353-6400.

What is Antonis Pratsos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Antonis Pratsos enrolled in Medicare?

Yes. Antonis Pratsos 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.

Is Antonis Pratsos affiliated with any hospitals?

According to CMS data, Antonis Pratsos is affiliated with Bryn Mawr Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Antonis Pratsos was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.