COLTON C PRUDNICK DO
NPI 1619380334
Urology in East Lansing, MI

Q: What is Colton Prudnick's NPI number?

The NPI number for Colton Prudnick is 1619380334. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Q: What is Colton Prudnick's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Colton Prudnick was last updated on November 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment

4660 S HAGADORN RD STE 210, EAST LANSING, MI 48823(517) 355-4205(517) 364-8119 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2023, Jul 2, 2019 (2 updates tracked since 2019).

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About Colton C Prudnick Do NPPES

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

COLTON C PRUDNICK DO (NPI 1619380334) is an individual urology provider in East Lansing, Michigan, licensed in Michigan (5101025083) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of West Virginia School Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1619380334

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameCOLTON C PRUDNICKCredential: DO

Location Address4660 S HAGADORN RD STE 210East Lansing, MI 48823-5353

Mailing Address804 Service Rd Ste A109bEast Lansing, MI 48824-7015 · (517) 355-4205 · Fax (517) 364-8119

Phone(517) 355-4205

Fax(517) 364-8119

Sole ProprietorYes

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2014

Enumeration DateJune 10, 2014

Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration

NPPES CertifiedNovember 20, 2023

✔ NPI 1619380334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MI · 5101025083

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4660 S HAGADORN RD STE 210, East Lansing, MI 48823

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Colton C Prudnick Do 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 ID5597090597

PECOS Enrollment IDI20190712002237

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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services59 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

22 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

22 services22 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

18 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230121

Location826 West King StreetOwosso, MI 48867 · Shiawassee County

Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230217

Location200 N MadisonMarshall, MI 49068 · Calhoun County

Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230230

Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier13 claims2,520 services$1.68 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 7

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

MSU HEALTH CARE INC

Urology