JAMES PRATT PA-C
NPI 1649720517
Physician Assistant - Medical in Missoula, MT

Active since October 04, 2016PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
1821 SOUTH AVE W STE 402, MISSOULA, MT 59801(406) 543-8512(406) 541-8513 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Oct 4, 2023, Feb 20, 2023 and 4 more (7 updates tracked since 2017).

About James Pratt Pa-c NPPES

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

JAMES PRATT PA-C (NPI 1649720517) is an individual medical provider in Missoula, Montana, licensed in Utah (5984442-1206) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649720517
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJAMES PRATTCredential: PA-C
Location Address1821 SOUTH AVE W STE 402Missoula, MT 59801-6518
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(406) 541-8513
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 4, 2016
Last NPPES UpdateOctober 25, 20237 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
NPI 1649720517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 5984442-1206
1821 SOUTH AVE W STE 402, Missoula, MT 59801

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

James Pratt Pa-c 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 ID5193001428
PECOS Enrollment IDI20230104001646
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 20

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,445 services310 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.
667 services538 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
496 services410 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.
238 services238 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
235 services223 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.
146 services125 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Missoula, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270023
Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula 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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

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.

Dermatology
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Physician Assistant (Medical)
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Physician Assistant (Medical)
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Dermatology
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Physician Assistant
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Dermatology
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Dermatology
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801

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 James Pratt's NPI number?

The NPI number for James Pratt is 1649720517. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is James Pratt located?

James Pratt practices at 1821 South Ave W Ste 402, Missoula, MT 59801. The listed phone number is (406) 543-8512.

What is James Pratt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is James Pratt enrolled in Medicare?

Yes. James 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 James Pratt accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list James 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 James Pratt affiliated with any hospitals?

According to CMS data, James Pratt is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for James Pratt was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.