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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HERBERT D PRAWIUS M.D.
NPI 1740221571
Internal Medicine - Endocrinology, Diabetes & Metabolism in Danbury, CT

Active since June 10, 2006PECOS Enrolled
25 GERMANTOWN RD, DANBURY, CT 06810(203) 730-5944 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Herbert D Prawius M.d. NPPES

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

HERBERT D PRAWIUS M.D. (NPI 1740221571) is an individual endocrinology, diabetes & metabolism provider in Danbury, Connecticut, licensed in Connecticut (032770) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1990).

NPPES Registry Identity

NPI1740221571
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameHERBERT D PRAWIUSCredential: M.D.
Location Address25 GERMANTOWN RDDanbury, CT 06810-5013
Mailing Address25 Germantown RdDanbury, CT 06810-5013 · (203) 730-5944
Phone(203) 730-5944
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1990
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1740221571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CT · 032770
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
25 GERMANTOWN RD, Danbury, CT 06810
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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

Herbert D Prawius 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 ID648209486
PECOS Enrollment IDI20240916002767
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 2

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 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.
27 services23 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.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 20

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

MARCOS RAMIRO LAMAS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
TERESA A CICHOSZ AGNP-C, CDCES
Nurse Practitioner (Adult Health)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
DR. KRISTEN JACKSON MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
DR. LAWRENCE FISHER M.D.
Specialist
25 GERMANTOWN RD, SUITE 2B
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-0090
MARIE ELENA CORDISCO APRN
Nurse Practitioner (Family)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 764-5620
DR. UMAR RIAZ AHMAD D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
CRISTINA MARIE VERGARA
Nurse Practitioner (Family)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620
SARAH SCOLPINI MSN, APRN, FNP-BC
Nurse Practitioner (Family)
25 GERMANTOWN RD
DANBURY, CT 06810
Western Connecticut Planning Region (203) 794-5620

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 Herbert Prawius's NPI number?

The NPI number for Herbert Prawius is 1740221571. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Herbert Prawius located?

Herbert Prawius practices at 25 Germantown Rd, Danbury, CT 06810. The listed phone number is (203) 730-5944.

What is Herbert Prawius's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Herbert Prawius enrolled in Medicare?

Yes. Herbert Prawius 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.

When was this NPI record last updated?

The NPPES record for Herbert Prawius was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.