TIMOTHY JAMES PRATER D.C.
NPI 1780727693
Chiropractor in Marion, OH
About Timothy James Prater D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY JAMES PRATER D.C. (NPI 1780727693) is an individual chiropractor in Marion, Ohio, licensed in Ohio (4416) and active in the NPI registry since February 2007. He is affiliated with Marion General Hospital and is a graduate of National College Of Chiropractic (2006).
NPPES Registry Identity
Specialties & Licenses
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
Timothy James Prater D.c. 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Prater reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marion, OH 43302
- Reassigned Medicare billing, Ohio enrollment
- 2 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marion General Hospital
Acute Care Hospitals · Marion, OHOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Timothy Prater's NPI number?
The NPI number for Timothy Prater is 1780727693. It was assigned to this individual provider in the NPPES registry on February 14, 2007.
Where is Timothy Prater located?
Timothy Prater practices at 520 E Center St, Marion, OH 43302. The listed phone number is (740) 387-3185.
What is Timothy Prater's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Timothy Prater enrolled in Medicare?
Yes. Timothy 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.
Which organization bills Medicare for Timothy Prater's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Prater reassigns Medicare benefits to Denton-Prater Chiropractic And Natural Health (Marion, OH). 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 Timothy Prater's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Prater accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Providence Health Plan list Timothy 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 Timothy Prater affiliated with any hospitals?
According to CMS data, Timothy Prater is affiliated with Marion General Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Prater was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.