WILLIAM ELMO PRATER M.D.
NPI 1700956539
Family Medicine in Breckenridge, TX

Q: What is William Prater's NPI number?

The NPI number for William Prater is 1700956539. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is William Prater'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 William Prater was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 09, 2006PECOS EnrolledAccepts Medicare Assignment

101 S HARTFORD ST, BRECKENRIDGE, TX 76424(254) 559-3363(254) 559-7079 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About William Elmo Prater M.d. NPPES

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

WILLIAM ELMO PRATER M.D. (NPI 1700956539) is an individual family medicine provider in Breckenridge, Texas, licensed in Texas (G8349) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1982).

NPPES Registry Identity

NPI1700956539

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameWILLIAM ELMO PRATERCredential: M.D.

Location Address101 S HARTFORD STBreckenridge, TX 76424-4711

Mailing Address101 S Hartford StBreckenridge, TX 76424-4711 · (254) 559-3363 · Fax (254) 559-7079

Phone(254) 559-3363

Fax(254) 559-7079

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1982

Enumeration DateNovember 9, 2006

Last NPPES UpdateOctober 11, 2016

✔ NPI 1700956539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · G8349

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.

101 S HARTFORD ST, Breckenridge, TX 76424

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

William Elmo Prater 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 ID547362204

PECOS Enrollment IDI20070227000117

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.

Hospital Affiliations CMS Care Compare

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450229

Location1900 PineAbilene, TX 79601 · Taylor County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76424 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Reported Quality Measures

Advance Care Plan

91%574 patients4/55-star benchmark: 100%

Breast Cancer Screening

52%274 patients3/55-star benchmark: 93%

Colorectal Cancer Screening

29%657 patients2/55-star benchmark: 88%

Diabetes: Eye Exam

2%173 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

21%173 patients4/55-star benchmark: 91%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

29%1,307 patients2/55-star benchmark: 61%

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 13

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

4 suppliers24 claims69 services$6.08 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims20 services$1.08 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers15 claims15 services$108.40 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers13 claims26 services$39.79 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers15 claims15 services$22.41 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers18 claims96 services$2.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

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

DR. LARRY LEN MAPLES DO

Family Medicine

101 S HARTFORD ST
BRECKENRIDGE, TX 76424

Stephens County (254) 559-3363

KELLI WINDSOR DO

Family Medicine

101 S HARTFORD ST
BRECKENRIDGE, TX 76424

Stephens County (254) 559-3363

MATTHEW PROCTOR MD PA

Family Medicine

101 S HARTFORD ST, SUITE B
BRECKENRIDGE, TX 76424

Stephens County (254) 559-1595

SUSAN BADIDI MD

Family Medicine

101 S HARTFORD ST
BRECKENRIDGE, TX 76424

Stephens County (254) 559-3363

STEPHENS MEMORIAL HOSPITAL DISTRICT

Clinic/Center (Rural Health)

101 S HARTFORD ST
BRECKENRIDGE, TX 76424

Stephens County (254) 559-3363

STEPHENS MEMORIAL HOSPITAL

Clinic/Center

101 S HARTFORD ST
BRECKENRIDGE, TX 76424

Stephens County (254) 559-2241

RACHAEL KENDRA DABELIC, M.D. P.A.

Family Medicine

101 S HARTFORD ST, SUITE A
BRECKENRIDGE, TX 76424

Stephens County (254) 559-5441

MS. REBECCA LYNN MCINTIRE APRN, FNP

Nurse Practitioner (Family)

101 S HARTFORD ST
BRECKENRIDGE, TX 76424

Stephens County (254) 559-3363

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 William Prater's NPI number?

The NPI number for William Prater is 1700956539. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is William Prater located?

William Prater practices at 101 S Hartford St, Breckenridge, TX 76424. The listed phone number is (254) 559-3363.

What is William Prater's specialty?

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

Is William Prater enrolled in Medicare?

Yes. William Prater 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 William Prater accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list William Prater 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 William Prater affiliated with any hospitals?

According to CMS data, William Prater is affiliated with Hendrick Medical Center.

When was this NPI record last updated?

The NPPES record for William Prater was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.