EDGAR ALBERTO PRETTELT M.D.
NPI 1598854754
Family Medicine in Loxahatchee, FL

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
12955 PALMS WEST DR, BUILDING 8 . SUITE 101, LOXAHATCHEE, FL 33470(561) 333-5022(561) 333-0449 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgar Alberto Prettelt M.d. NPPES

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

EDGAR ALBERTO PRETTELT M.D. (NPI 1598854754) is an individual family medicine provider in Loxahatchee, Florida, licensed in Florida (ME88280) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1598854754
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDGAR ALBERTO PRETTELTCredential: M.D.
Location Address12955 PALMS WEST DR, BUILDING 8 . SUITE 101Loxahatchee, FL 33470-4993
Mailing Address12955 Palms West Dr, Building 8 . Suite 101Loxahatchee, FL 33470-4993 · (561) 333-5022 · Fax (561) 333-0449
Fax(561) 333-0449
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1598854754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME88280
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.
12955 PALMS WEST DR, Loxahatchee, FL 33470

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 and accepts Medicare assignment

Edgar Alberto Prettelt 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 ID2769382746
PECOS Enrollment IDI20040113000700
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 4

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.

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.
261 services183 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
183 services177 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
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.
154 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers40 claims40 services$17.18 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$5.78 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers48 claims48 services$89.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
12955 PALMS WEST DR
LOXAHATCHEE, FL 33470
Pediatrics
12955 PALMS WEST DR, SUITE 100 BUILDING 8
LOXAHATCHEE, FL 33470
Family Medicine
12955 PALMS WEST DR, STE 101
LOXAHATCHEE, FL 33470
Family Medicine
12955 PALMS WEST DR, #101
LOXAHATCHEE, FL 33470
Anesthesiology
12955 PALMS WEST DR, BUILDING 8, #101
LOXAHATCHEE, FL 33470
Pediatrics
12955 PALMS WEST DR, BUILDING 8, SUITE 100
LOXAHATCHEE, FL 33470
Speech-Language Pathologist
12955 PALMS WEST DR, SUITE 202
LOXAHATCHEE, FL 33470
Pediatrics
12955 PALMS WEST DR, STE 100, BUILDING 8
LOXAHATCHEE, FL 33470

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 Edgar Prettelt's NPI number?

The NPI number for Edgar Prettelt is 1598854754. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Edgar Prettelt located?

Edgar Prettelt practices at 12955 Palms West Dr Building 8 . Suite 101, Loxahatchee, FL 33470. The listed phone number is (561) 333-5022.

What is Edgar Prettelt's specialty?

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

Is Edgar Prettelt enrolled in Medicare?

Yes. Edgar Prettelt 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 Edgar Prettelt accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Edgar Prettelt 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.

Is Edgar Prettelt affiliated with any hospitals?

According to CMS data, Edgar Prettelt is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Prettelt was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.