FREDERICK RYAN PRALL M.D.
NPI 1740375534
Ophthalmology - Retina Specialist in Carmel, IN

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12794 HAMILTON CROSSING BLVD, CARMEL, IN 46032(317) 571-1501(317) 571-4806 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 15, 2025, Oct 13, 2020, Apr 19, 2017 and 1 more (4 updates tracked since 2016).

About Frederick Ryan Prall M.d. NPPES

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

FREDERICK RYAN PRALL M.D. (NPI 1740375534) is an individual retina specialist in Carmel, Indiana, licensed in Indiana (01062190A) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1740375534
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameFREDERICK RYAN PRALLCredential: M.D.
Location Address12794 HAMILTON CROSSING BLVDCarmel, IN 46032-5422
Mailing Address10585 N Meridian St Ste 100Carmel, IN 46290-1066 · (317) 571-1501 · Fax (317) 571-4806
Fax(317) 571-4806
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2002
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 15, 20254 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1740375534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in IN · 01062190A
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X · License 01062190A (IN)
12794 HAMILTON CROSSING BLVD, Carmel, IN 46032

Secondary Practice Location 1

Location 12929 S McIntire DrBloomington, IN 47403-4209 · Phone (317) 571-1501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Frederick Ryan Prall 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 ID1850448689
PECOS Enrollment IDI20110221000597
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 Frederick Prall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Retina Specialist
12794 HAMILTON CROSSING BLVD
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 7 clinicians in this Medicare group

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 21

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
7,260 services24 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
2,941 services795 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,498 services220 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
2,292 services393 patients
Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg Q5124
Ranibizumab-nuna (Byooviz) is a biosimilar injection given to treat certain eye conditions, like age-related macular degeneration. It works by slowing the disease's progress and maintaining your current level of vision. The dosage is 0.1 mg.
665 services33 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.
536 services386 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Ophthalmology (Retina Specialist)
12794 HAMILTON CROSSING BLVD
CARMEL, IN 46032
Ophthalmology (Retina Specialist)
12794 HAMILTON CROSSING BLVD
CARMEL, IN 46032
Ophthalmology (Retina Specialist)
12794 HAMILTON CROSSING BLVD
CARMEL, IN 46032
Ophthalmology (Retina Specialist)
12794 HAMILTON CROSSING BLVD
CARMEL, IN 46032
Ophthalmology (Retina Specialist)
12794 HAMILTON CROSSING BLVD
CARMEL, IN 46032
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
12794 HAMILTON CROSSING BLVD
CARMEL, IN 46032
Ophthalmology (Retina Specialist)
12794 HAMILTON CROSSING BLVD
CARMEL, IN 46032

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 Frederick Prall's NPI number?

The NPI number for Frederick Prall is 1740375534. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Frederick Prall located?

Frederick Prall practices at 12794 Hamilton Crossing Blvd, Carmel, IN 46032. The listed phone number is (317) 571-1501.

What is Frederick Prall's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Frederick Prall enrolled in Medicare?

Yes. Frederick Prall 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.

Which organization bills Medicare for Frederick Prall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Prall reassigns Medicare benefits to Associated Vitreoretinal & Uveitis Consultants LLC (Carmel, IN). 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 Frederick Prall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frederick Prall accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Frederick Prall 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 Frederick Prall was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.