DR. MICHAEL J PREMATTA MD
NPI 1801009444
Allergy & Immunology in Havertown, PA

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
400 W TOWNSHIP LINE RD, HAVERTOWN, PA 19083(610) 789-1313(610) 789-0655 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 5, 2017 (2 updates tracked since 2017).

About Dr. Michael J Prematta Md NPPES

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

DR. MICHAEL J PREMATTA MD (NPI 1801009444) is an individual allergy & immunology provider in Havertown, Pennsylvania, licensed in Pennsylvania (MD439200) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2005).

NPPES Registry Identity

NPI1801009444
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. MICHAEL J PREMATTACredential: MD
Location Address400 W TOWNSHIP LINE RDHavertown, PA 19083-5210
Mailing Address400 W Township Line RdHavertown, PA 19083-5210 · (610) 789-1313 · Fax (610) 789-0655
Fax(610) 789-0655
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2005
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1801009444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in PA · MD439200
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD439200 (PA)
400 W TOWNSHIP LINE RD, Havertown, PA 19083

Accepted 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. Michael J Prematta 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 ID2466578810
PECOS Enrollment IDI20100923000421
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 16

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
3,615 services81 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
3,471 services142 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
1,974 services170 patients
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.
579 services246 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
520 services229 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.
245 services180 patients

Hospital Affiliations CMS Care Compare 3

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
6 suppliers40 claims119 services$18.04 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers25 claims65 services$35.76 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers22 claims22 services$3.55 avg. paid by Medicare
Injection, immune globulin (xembify), 100 mg J1558
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers12 claims8,880 services$10.71 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
3 suppliers25 claims8,320 services$9.51 avg. paid by Medicare
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims1,170 services$35.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
400 W TOWNSHIP LINE RD
HAVERTOWN, PA 19083
Nurse Practitioner (Family)
400 W TOWNSHIP LINE RD
HAVERTOWN, PA 19083
Allergy & Immunology
400 W TOWNSHIP LINE RD
HAVERTOWN, PA 19083
Allergy & Immunology (Allergy)
400 W TOWNSHIP LINE RD
HAVERTOWN, PA 19083
Allergy & Immunology
400 W TOWNSHIP LINE RD
HAVERTOWN, PA 19083

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 Michael Prematta's NPI number?

The NPI number for Michael Prematta is 1801009444. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Michael Prematta located?

Michael Prematta practices at 400 W Township Line Rd, Havertown, PA 19083. The listed phone number is (610) 789-1313.

What is Michael Prematta's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Michael Prematta enrolled in Medicare?

Yes. Michael Prematta 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 Michael Prematta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Prematta 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 Michael Prematta affiliated with any hospitals?

According to CMS data, Michael Prematta is affiliated with Bryn Mawr Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Prematta was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.