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DR. LORETTA A PRATT MD
NPI 1770583320
Dermatology in State College, PA

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1850 E PARK AVE, SUITE 312, STATE COLLEGE, PA 16803(814) 237-6600(814) 237-5383 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 12, 2019, Oct 14, 2016 (2 updates tracked since 2016).

About Dr. Loretta A Pratt Md NPPES

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

DR. LORETTA A PRATT MD (NPI 1770583320) is an individual dermatology provider in State College, Pennsylvania, licensed in Pennsylvania (MD038745E) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Kennebunk.

NPPES Registry Identity

NPI1770583320
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. LORETTA A PRATTCredential: MD
Location Address1850 E PARK AVE, SUITE 312State College, PA 16803-6706
Mailing Address1850 E Park Ave, Suite 312State College, PA 16803-6706 · (814) 237-6600 · Fax (814) 237-5383
Phone(814) 237-6600
Fax(814) 237-5383
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 26, 2005
Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration
✔ NPI 1770583320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in PA · MD038745E✔ Licensed in NY · 1577481✔ Licensed in ME · MD21694
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1850 E PARK AVE, State College, PA 16803
Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Livewell DrKennebunk, ME 04043-6762 · Phone (207) 467-8800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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. Loretta A 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 ID9436323219
PECOS Enrollment IDI20111111000495, I20190124002893
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.

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.
80 services64 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.
64 services47 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
33 services12 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
25 services20 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
25 services21 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

PETER F. PEPE M.D.
Internal Medicine (Rheumatology)
1850 E PARK AVE, SUITE 201
STATE COLLEGE, PA 16803
Centre County (814) 234-8800
LYNN E DIVEN RD LD CDE
Dietitian, Registered
1850 E PARK AVE, STE 312
STATE COLLEGE, PA 16803
Centre County (814) 689-3156
LAURA L. STEPHENSON M.D.
Obstetrics & Gynecology
1850 E PARK AVE, SUITE 301
STATE COLLEGE, PA 16803
Centre County (814) 237-3470
KIMBERLY ANNE HANDEL MSN, CRNP
Nurse Practitioner (Adult Health)
1850 E PARK AVE, SUITE 310
STATE COLLEGE, PA 16803
Centre County (814) 863-8492
DR. DOV A BADER MD
Orthopaedic Surgery (Sports Medicine)
1850 E PARK AVE, SUITE 112
STATE COLLEGE, PA 16803
Centre County (814) 865-3566
ANDREW J RENAUD DPT
Physical Therapist
1850 E PARK AVE, SUITE 112
STATE COLLEGE, PA 16803
Centre County (814) 865-3566
BRIAN W SCHULZ PT
Physical Therapist
1850 E PARK AVE, STE 112
STATE COLLEGE, PA 16803
Centre County (800) 243-1455
JEFFREY W. PRO M.D.
Internal Medicine
1850 E PARK AVE, SUITE 302
STATE COLLEGE, PA 16803
Centre County (814) 278-4680

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 Loretta Pratt's NPI number?

The NPI number for Loretta Pratt is 1770583320. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Loretta Pratt located?

Loretta Pratt practices at 1850 E Park Ave Suite 312, State College, PA 16803. The listed phone number is (814) 237-6600.

What is Loretta Pratt's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Loretta Pratt enrolled in Medicare?

Yes. Loretta Pratt 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 Loretta Pratt accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Loretta Pratt 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 Loretta Pratt affiliated with any hospitals?

According to CMS data, Loretta Pratt is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Loretta Pratt was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.