DR. JOHN THOMAS PRATHER M.D.
NPI 1649494360
Orthopaedic Surgery - Foot and Ankle Surgery in Savannah, GA

Active since April 12, 2007PECOS EnrolledAccepts Medicare Assignment
81.52/100
CMS Quality Rating
4425 PAULSEN ST, SAVANNAH, GA 31405(912) 525-1280(912) 354-5970 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Thomas Prather M.d. NPPES

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

DR. JOHN THOMAS PRATHER M.D. (NPI 1649494360) is an individual foot and ankle surgery provider in Savannah, Georgia, licensed in Georgia (65877) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1649494360
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameDR. JOHN THOMAS PRATHERCredential: M.D.
Location Address4425 PAULSEN STSavannah, GA 31405-3662
Mailing Address4425 Paulsen StSavannah, GA 31405-3662 · (912) 525-1280 · Fax (912) 354-5970
Fax(912) 354-5970
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 12, 2007
Last NPPES UpdateMay 31, 2019
NPI 1649494360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License Licensed in GA · 65877
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 390200000X (TN)
4425 PAULSEN ST, Savannah, GA 31405

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

Dr. John Thomas 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 ID7719155365
PECOS Enrollment IDI20110726000327, I20231120002561
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 17

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.
656 services431 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
604 services105 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
409 services266 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
261 services166 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.
123 services123 patients
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.
107 services106 patients

Hospital Affiliations CMS Care Compare 5

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

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

Effingham Health System

Critical Access Hospitals · Springfield, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111306
Location459 Ga Highway 119 SouthSpringfield, GA 31329 · Effingham County
Emergency services

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

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.

81.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.5
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
31%994 patients2/55-star benchmark: 87%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%154 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%397 patients4/55-star benchmark: 100%
e-Prescribing
98%217 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
63%876 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%2,467 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 225 patients
Patients screened: 99% · 225 patients
100%36 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
86%986 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%205 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 930 patients
Patients totalRate: 2% · 930 patients
2%930 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers42 claims42 services$19.14 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers40 claims40 services$8.29 avg. paid by Medicare
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only L2330
DME-Orthotic Devices · category DF000N
4 suppliers11 claims12 services$316.42 avg. paid by Medicare
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820
DME-Orthotic Devices · category DF000N
4 suppliers11 claims12 services$69.98 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360
DME-Orthotic Devices · category DF003N
3 suppliers22 claims22 services$219.96 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 20

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

Orthopaedic Surgery
4425 PAULSEN ST
SAVANNAH, GA 31405
Physical Therapist
4425 PAULSEN ST
SAVANNAH, GA 31405
Nurse Practitioner (Family)
4425 PAULSEN ST
SAVANNAH, GA 31405
Physician Assistant
4425 PAULSEN ST
SAVANNAH, GA 31405
Nurse Practitioner (Family)
4425 PAULSEN ST
SAVANNAH, GA 31405
Massage Therapist
4425 PAULSEN ST
SAVANNAH, GA 31405
Orthopaedic Surgery
4425 PAULSEN ST
SAVANNAH, GA 31405
Physician Assistant
4425 PAULSEN ST
SAVANNAH, GA 31405

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 John Prather's NPI number?

The NPI number for John Prather is 1649494360. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is John Prather located?

John Prather practices at 4425 Paulsen St, Savannah, GA 31405. The listed phone number is (912) 525-1280.

What is John Prather's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is John Prather enrolled in Medicare?

Yes. John 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 John Prather accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list John 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.

Is John Prather affiliated with any hospitals?

According to CMS data, John Prather is affiliated with Candler Hospital, Memorial University Medical Center, St Joseph's Hospital - Savannah, Effingham Health System and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for John Prather was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.