DONALD L. PRUITT MD
NPI 1659366284
Orthopaedic Surgery - Hand Surgery in St Louis, MO

Q: What is Donald Pruitt's NPI number?

The NPI number for Donald Pruitt is 1659366284. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Donald Pruitt's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Donald Pruitt was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 20, 2005PECOS Enrolled

12855 NORTH FORTY DRIVE, SUITE 125, ST LOUIS, MO 63141(314) 966-0111(314) 966-1023 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Donald L. Pruitt Md NPPES

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

DONALD L. PRUITT MD (NPI 1659366284) is an individual hand surgery provider in St Louis, Missouri, licensed in Missouri (R5H33) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659366284

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDONALD L. PRUITTCredential: MD

Location Address12855 NORTH FORTY DRIVE, SUITE 125St Louis, MO 63141

Mailing Address12813 Flushing Meadows Drive, Suite 210St. Louis, MO 63131 · (314) 966-0111 · Fax (314) 966-1023

Phone(314) 966-0111

Fax(314) 966-1023

Sole ProprietorNo

Enumeration DateSeptember 20, 2005

Last NPPES UpdateOctober 21, 2011

✔ NPI 1659366284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in MO · R5H33

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License R5H33 (MO)

12855 NORTH FORTY DRIVE, St Louis, MO 63141

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Other Identifiers 1

Medicare UPINA27754

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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 (PECOS)

Donald L. Pruitt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Donald Pruitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Surgical Specialists, LLC

30 mi

Vascular Surgery

851 E 5TH ST, SUITE 108
Washington, MO 63090

Reassigned Medicare billing, Missouri enrollment
168 clinicians in this Medicare group

NPI 1043530538 (636) 861-7870

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 12

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.

195 services133 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.

76 services76 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

72 services58 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

69 services53 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.

52 services45 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

48 services32 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

40 services37 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

29 services25 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

23 services15 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

21 services20 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

17 services15 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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 2

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

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809

DME-Orthotic Devices · category DF000N

1 supplier15 claims15 services$155.97 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier30 claims30 services$42.51 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 10

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

MRS. SARAH E KESSEN MSN, ANP

Nurse Practitioner

12855 NORTH FORTY DRIVE, SUITE 125
ST. LOUIS, MO 63141

St. Louis County (314) 966-0111

KEITH J. ODEGARD MD

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125
ST. LOUIS, MO 63141

St. Louis County (314) 966-0111

JAMES C. STRICKLAND MD

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125
ST LOUIS, MO 63141

St. Louis County (314) 966-0111

HUSAM T NAWAS M.D.

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125, NORTH TOWER
ST. LOUIS, MO 63141

St. Louis County (314) 966-0111

DAVID R. LANGE MD

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125, NORTH TOWER
SAINT LOUIS, MO 63141

St. Louis County (314) 966-0111

DONALD WADE HAMMOND II MD

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125
ST LOUIS, MO 63141

St. Louis County (314) 966-0111

RYAN W. COUCHMAN MD

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125
ST LOUIS, MO 63141

St. Louis County (314) 966-0111

BERNARD C RANDOLPH JR. M.D.

Physical Medicine & Rehabilitation

12855 NORTH FORTY DRIVE, SUITE 125
ST LOUIS, MO 63141

St. Louis County (314) 966-0111

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 Donald Pruitt's NPI number?

The NPI number for Donald Pruitt is 1659366284. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Donald Pruitt located?

Donald Pruitt practices at 12855 North Forty Drive Suite 125, St Louis, MO 63141. The listed phone number is (314) 966-0111.

What is Donald Pruitt's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Donald Pruitt enrolled in Medicare?

Yes. Donald Pruitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Pruitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Pruitt reassigns Medicare benefits to Mercy Clinic Surgical Specialists, LLC (Washington, MO). The 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 Donald Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Pruitt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Donald Pruitt 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.

When was this NPI record last updated?

The NPPES record for Donald Pruitt was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.