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DR. ZACHARY A PRATHER M.D.
NPI 1609139500
Family Medicine in Casa Grande, AZ

Active since June 17, 2012PECOS EnrolledAccepts Medicare Assignment
92.29/100
CMS Quality Rating
1800 E. FLORENCE BLVD., ATTN: AMANDA GUMP/HOSPITALIST TEAM, CASA GRANDE, AZ 85122(480) 543-2034(480) 543-2647 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 26, 2019, Jan 24, 2019 (2 updates tracked since 2019).

About Dr. Zachary A Prather M.d. NPPES

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

DR. ZACHARY A PRATHER M.D. (NPI 1609139500) is an individual family medicine provider in Casa Grande, Arizona, licensed in Arizona (48765) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2012).

NPPES Registry Identity

NPI1609139500
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ZACHARY A PRATHERCredential: M.D.
Location Address1800 E. FLORENCE BLVD., ATTN: AMANDA GUMP/HOSPITALIST TEAMCasa Grande, AZ 85122
Mailing Address1900 N. Higley Road, Attn: Amanda Gump/hospitalist TeamGilbert, AZ 85234 · (480) 543-2034 · Fax (480) 543-2647
Phone(480) 543-2034
Fax(480) 543-2647
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2012
Enumeration DateJune 17, 2012
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
✔ NPI 1609139500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 48765✔ Licensed in LA · 30716
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.

Also ListedHospitalistTaxonomy 208M00000X · License 48765 (AZ)
1800 E. FLORENCE BLVD., Casa Grande, AZ 85122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Dr. Zachary A Prather 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 ID941507552
PECOS Enrollment IDI20190723001840
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 7

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.
491 services169 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.
101 services98 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.
89 services86 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.
56 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services27 patients
Hospital discharge day management, 30 minutes or less 99238
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.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

92.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost66.94

Referred Medical Equipment & Supplies CMS DME claims 2

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
1 supplier15 claims15 services$13.84 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
1 supplier23 claims23 services$66.81 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 4

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

ULYSSES PAZ MONTERO M.D.
Hospitalist
1800 E. FLORENCE BLVD., ATTN: HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034
KARTHIK DONUUR M.D.
Hospitalist
1800 E. FLORENCE BLVD., ATTN: HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034
DR. CHRISTOPHER JOHN LEBEAU JR. M.D.
Hospitalist
1800 E. FLORENCE BLVD., ATTN: AMANDA GUMP/HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034
DR. SANGRAM SINGH RANDHAWA MD
Hospitalist
1800 E. FLORENCE BLVD., ATTN: AMANDA GUMP/HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034

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 Zachary Prather's NPI number?

The NPI number for Zachary Prather is 1609139500. It was assigned to this individual provider in the NPPES registry on June 17, 2012.

Where is Zachary Prather located?

Zachary Prather practices at 1800 E. Florence Blvd. Attn: Amanda Gump/Hospitalist Team, Casa Grande, AZ 85122. The listed phone number is (480) 543-2034.

What is Zachary Prather's specialty?

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

Is Zachary Prather enrolled in Medicare?

Yes. Zachary Prather 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 Zachary Prather accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Zachary Prather 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 Zachary Prather was last updated on August 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.