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DR. HARI PRABHAKAR MD
NPI 1669887311
Pain Medicine - Interventional Pain Medicine in Grovetown, GA

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment
73.46/100
CMS Quality Rating
304 INSPERON DR, GROVETOWN, GA 30813(706) 222-4559(706) 400-6493 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Oct 11, 2021, Oct 1, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Hari Prabhakar Md NPPES

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

DR. HARI PRABHAKAR MD (NPI 1669887311) is an individual interventional pain medicine provider in Grovetown, Georgia, licensed in Texas (S1493) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with University Mcduffie County Regional Medical Center, and is a graduate of Harvard Medical School (2005).

NPPES Registry Identity

NPI1669887311
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. HARI PRABHAKARCredential: MD
Location Address304 INSPERON DRGrovetown, GA 30813-0605
Mailing Address13748 Cinnabar PlHuntersville, NC 28078-5342 · (706) 222-4559
Phone(706) 222-4559
Fax(706) 400-6493
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2005
Enumeration DateJune 20, 2014
Last NPPES UpdateMarch 6, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1669887311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in TX · S1493
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 274972 (MA)
304 INSPERON DR, Grovetown, GA 30813
Open in Google Maps ↗

Other Identifiers 1

OtherS1493TX · Tx Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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. Hari Prabhakar 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 ID1355659616
PECOS Enrollment IDI20240307002760
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 3

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
256 services16 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.
112 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients

Hospital Affiliations CMS Care Compare

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

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30813 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

73.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.36
Promoting Interoperability0
Improvement Activities40
Cost92.32

Other Providers at the Same Location NPPES

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

AVIATOR PAIN & SPINE, LLC
Anesthesiology (Pain Medicine)
304 INSPERON DR
GROVETOWN, GA 30813
Columbia County (214) 717-0806

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 Hari Prabhakar's NPI number?

The NPI number for Hari Prabhakar is 1669887311. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Hari Prabhakar located?

Hari Prabhakar practices at 304 Insperon Dr, Grovetown, GA 30813. The listed phone number is (706) 222-4559.

What is Hari Prabhakar's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Hari Prabhakar enrolled in Medicare?

Yes. Hari Prabhakar 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 Hari Prabhakar accept?

Health plans from Alliant Health Plans, Inc. list Hari Prabhakar 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 Hari Prabhakar affiliated with any hospitals?

According to CMS data, Hari Prabhakar is affiliated with University Mcduffie County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Hari Prabhakar was last updated on March 6, 2024. 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.