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STEPHANIE MARIE PRADO MD
NPI 1649344391
Preventive Medicine - Undersea and Hyperbaric Medicine in Jourdanton, TX

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
1907 HIGHWAY 97 E, SUITE 130, JOURDANTON, TX 78026(830) 769-5919(904) 446-3013 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephanie Marie Prado Md NPPES

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

STEPHANIE MARIE PRADO MD (NPI 1649344391) is an individual undersea and hyperbaric medicine provider in Jourdanton, Texas, licensed in Texas (K9153) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Frio Regional Hospital, and is a graduate of Baylor College Of Medicine (1989).

NPPES Registry Identity

NPI1649344391
Entity TypeIndividualFemale
Primary Taxonomy2083P0011X
Provider Legal NameSTEPHANIE MARIE PRADOCredential: MD
Location Address1907 HIGHWAY 97 E, SUITE 130Jourdanton, TX 78026-1537
Mailing AddressPo Box 848510Boston, MA 02284-8510 · (904) 446-3451 · Fax (904) 446-3013
Phone(830) 769-5919
Fax(904) 446-3013
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1989
Enumeration DateNovember 17, 2006
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1649344391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
License✔ Licensed in TX · K9153
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Also ListedSpecialistTaxonomy 174400000X · License K9153 (TX)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License K9153 (TX)
1907 HIGHWAY 97 E, Jourdanton, TX 78026
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Other Identifiers 1

Other010915507TX · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Health Advantage, Octave and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Marie Prado Md 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 ID6507960747
PECOS Enrollment IDI20070328000560
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stephanie Prado reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Provider Health PA
100 mi
Infectious Disease
4316 JAMES CASEY ST STE B-100
Austin, TX 78745
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1013397066 (512) 444-4325
Wound Integrity Arkansas PA
538 mi
Internal Medicine
13501 CHENAL PKWY STE 101
Little Rock, AR 72211
  • Reassigned Medicare billing, Arkansas enrollment
  • 10 clinicians in this Medicare group
NPI 1831709997 (501) 239-9146
Bay Area Hospital District
1,737 mi
General Acute Care Hospital
1775 THOMPSON RD
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 327 clinicians in this Medicare group
NPI 1225016561 (541) 269-8124

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
33 services31 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
23 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Frio Regional Hospital

Critical Access Hospitals · Pearsall, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451391
Location200 S Ih 35Pearsall, TX 78061 · Frio County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78026 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

TIMBERLAND MEDICAL GROUP
Radiology (Diagnostic Radiology)
1907 HIGHWAY 97 E, SUITE 250
JOURDANTON, TX 78026
Atascosa County (830) 769-4000
DR. ASHWINI KUMAR M.D.
Surgery
1907 HIGHWAY 97 E, SUITE 260
JOURDANTON, TX 78026
Atascosa County (830) 769-5910

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 Stephanie Prado's NPI number?

The NPI number for Stephanie Prado is 1649344391. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Stephanie Prado located?

Stephanie Prado practices at 1907 Highway 97 E Suite 130, Jourdanton, TX 78026. The listed phone number is (830) 769-5919.

What is Stephanie Prado's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Stephanie Prado enrolled in Medicare?

Yes. Stephanie Prado 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.

Which organizations bill Medicare for Stephanie Prado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Prado reassigns Medicare benefits to 3 organizations: Premier Provider Health PA (Austin, TX), Wound Integrity Arkansas PA (Little Rock, AR) and Bay Area Hospital District (Coos Bay, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Prado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Prado accept?

Health plans from Blue Cross and Blue Shield of Texas, Health Advantage, Octave, Oscar Insurance Company and UnitedHealthcare list Stephanie Prado 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 Stephanie Prado affiliated with any hospitals?

According to CMS data, Stephanie Prado is affiliated with Frio Regional Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Prado was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.