ROBERT S PRATT MD
NPI 1700828951
Family Medicine in Willow Street, PA

Q: What is Robert Pratt's NPI number?

The NPI number for Robert Pratt is 1700828951. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Robert Pratt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Pratt was last updated on July 2, 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

71.17/100

CMS Quality Rating

2605 WILLOW STREET PIKE N, WILLOW STREET, PA 17584(717) 464-2838(717) 464-3812 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Robert S Pratt Md NPPES

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

ROBERT S PRATT MD (NPI 1700828951) is an individual family medicine provider in Willow Street, Pennsylvania, licensed in Pennsylvania (MD021437E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Wake Forest University School Of Medicine (1977).

NPPES Registry Identity

NPI1700828951

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameROBERT S PRATTCredential: MD

Location Address2605 WILLOW STREET PIKE NWillow Street, PA 17584-9510

Mailing Address2605 Willow Street Pike NWillow Street, PA 17584-9510 · (717) 464-2838 · Fax (717) 464-3812

Phone(717) 464-2838

Fax(717) 464-3812

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 1977

Enumeration DateJune 12, 2006

Last NPPES UpdateJuly 2, 2019

✔ NPI 1700828951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD021437E

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2605 WILLOW STREET PIKE N, Willow Street, PA 17584

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Other Identifiers 1

Medicaid000799173PA

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

Robert S Pratt 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 ID3577606458

PECOS Enrollment IDI20100201000121

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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

268 services60 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

233 services61 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

50 services34 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

44 services24 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

41 services25 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

30 services25 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17584 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

71.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

46.05

Promoting Interoperability

Improvement Activities

Cost

58.7

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers23 claims64 services$6.33 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers11 claims17 services$1.12 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers12 claims12 services$29.64 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers13 claims13 services$43.56 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers16 claims16 services$17.63 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers29 claims78 services$1.99 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 8

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

LYNN MA MD

Family Medicine