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DR. JERRY W PRATT M.D.
NPI 1639145634
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Kalamazoo, MI

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
74.17/100
CMS Quality Rating
1722 SHAFFER ST, KALAMAZOO, MI 49048(269) 343-1555 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jerry W Pratt M.d. NPPES

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

DR. JERRY W PRATT M.D. (NPI 1639145634) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Kalamazoo, Michigan, licensed in Michigan (4301100380) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Three Rivers Health, and is a graduate of Virginia Commonwealth University, School Of Medicine (1992).

NPPES Registry Identity

NPI1639145634
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JERRY W PRATTCredential: M.D.
Location Address1722 SHAFFER STKalamazoo, MI 49048-1633
Mailing Address5943 Stadium DrKalamazoo, MI 49009-3016 · (804) 334-2908
Phone(269) 343-1555
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1992
Enumeration DateFebruary 28, 2006
Last NPPES UpdateApril 9, 2015
✔ NPI 1639145634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in MI · 4301100380✔ Licensed in OH · 35067178✔ Licensed in VA · 0101239206✔ Licensed in MS · 17033
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1722 SHAFFER ST, Kalamazoo, MI 49048
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Other Identifiers 1

Medicare UPINH56535

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

Dr. Jerry W Pratt 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 ID4688749179
PECOS Enrollment IDI20120727000416
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 11

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services20 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
25 services25 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.
25 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services25 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Three Rivers Health

Acute Care Hospitals · Three Rivers, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230015
Location701 S Health ParkwayThree Rivers, MI 49093 · St. Joseph County
Birthing friendly

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Ascension Borgess Allegan Hospital

Critical Access Hospitals · Allegan, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231328
Location555 Linn StreetAllegan, MI 49010 · Allegan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
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.

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.

74.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.9
Improvement Activities40
Cost69.08

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
34%35 patients2/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
65%146 patients3/55-star benchmark: 99%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%44 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%313 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%155 patients3/55-star benchmark: 95%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%272 patients5/55-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.

WILLIAM DYER
Psychologist
1722 SHAFFER ST
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-5600
PREMIER CARDIOLOGY PC
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Kalamazoo County (269) 381-3963
DR. JOSEPH PRANO D.O.
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST
KALAMAZOO, MI 49048
Kalamazoo County (269) 381-3963
DR. RAMONA TAN M.D.
Psychiatry & Neurology (Psychiatry)
1722 SHAFFER ST, SUITE #3
KALAMAZOO, MI 49048
Kalamazoo County (269) 337-6373
DR. ANTHONY KING
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Kalamazoo County (269) 381-3963
SUHAIL SHEIKH M.D.
Psychiatry & Neurology (Psychiatry)
1722 SHAFFER ST, STE 3
KALAMAZOO, MI 49048
Kalamazoo County (269) 337-6373
STEPHEN NEWMAN
Marriage & Family Therapist
1722 SHAFFER ST
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-5600
FRANK S SALTIEL M.D.
Internal Medicine (Interventional Cardiology)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Kalamazoo County (269) 381-3963

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 Jerry Pratt's NPI number?

The NPI number for Jerry Pratt is 1639145634. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Jerry Pratt located?

Jerry Pratt practices at 1722 Shaffer St, Kalamazoo, MI 49048. The listed phone number is (269) 343-1555.

What is Jerry Pratt's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Jerry Pratt enrolled in Medicare?

Yes. Jerry Pratt 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 Jerry Pratt accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Medica and Priority Health list Jerry Pratt 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 Jerry Pratt affiliated with any hospitals?

According to CMS data, Jerry Pratt is affiliated with Three Rivers Health, Promedica Coldwater Regional Hospital, Bronson Battle Creek Hospital, Borgess Medical Center and Ascension Borgess Allegan Hospital.

When was this NPI record last updated?

The NPPES record for Jerry Pratt was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.