DR. SARAH NICOLE PRATT M.D.
NPI 1801232202
Surgery in Sylvania, OH

Q: What is Sarah Pratt's NPI number?

The NPI number for Sarah Pratt is 1801232202. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Q: What is Sarah Pratt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Pratt was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 13, 2013PECOS EnrolledAccepts Medicare Assignment

5700 MONROE ST UNIT 101, SYLVANIA, OH 43560(419) 291-6777(419) 480-6607 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Sep 11, 2020 (2 updates tracked since 2020).

On this page

About Dr. Sarah Nicole Pratt M.d. NPPES

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

DR. SARAH NICOLE PRATT M.D. (NPI 1801232202) is an individual surgery provider in Sylvania, Ohio, licensed in Ohio (35.139928) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801232202

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. SARAH NICOLE PRATTCredential: M.D.

Location Address5700 MONROE ST UNIT 101Sylvania, OH 43560-2779

Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531 · (419) 291-6777 · Fax (419) 480-6607

Phone(419) 291-6777

Fax(419) 480-6607

Sole ProprietorNo

Medical School CMSToledo Medical CollegeGraduated 2013

Enumeration DateMay 13, 2013

Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2020

✔ NPI 1801232202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OH · 35.139928

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5700 MONROE ST UNIT 101, Sylvania, OH 43560

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13000 Arlington Ave, Graduate Medical EducationToledo, OH 43614-2595 · Phone (419) 383-6298 · Fax (419) 383-6636

Location 2300 Community DrManhasset, NY 11030 · Phone (516) 562-0100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Sarah Nicole Pratt 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 ID5294030508

PECOS Enrollment IDI20200918001310

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 Sarah Pratt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promedica Central Physicians

8.6 mi

Family Medicine

100 MADISON AVE, MSC-S38805
Toledo, OH 43604

Reassigned Medicare billing, Ohio enrollment
1,072 clinicians in this Medicare group

NPI 1043270150 (567) 585-1964

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

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.

34 services29 patients

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 4

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

KATHLEEN M HOITENGA PA-C

Physician Assistant

5700 MONROE ST UNIT 101
SYLVANIA, OH 43560

Lucas County (419) 291-6777

PATRICK W. WHITE MD

Surgery

5700 MONROE ST UNIT 101
SYLVANIA, OH 43560

Lucas County (419) 291-6777

ASHLEY LYNN OSWALD NP

Nurse Practitioner

5700 MONROE ST UNIT 101
SYLVANIA, OH 43560

Lucas County (419) 291-6777

MATTHEW MICHAEL FOURMAN MD

Surgery

5700 MONROE ST UNIT 101
SYLVANIA, OH 43560

Lucas County (419) 291-6777

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 Sarah Pratt's NPI number?

The NPI number for Sarah Pratt is 1801232202. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Where is Sarah Pratt located?

Sarah Pratt practices at 5700 Monroe St Unit 101, Sylvania, OH 43560. The listed phone number is (419) 291-6777.

What is Sarah Pratt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sarah Pratt enrolled in Medicare?

Yes. Sarah 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.

Which organization bills Medicare for Sarah Pratt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Pratt reassigns Medicare benefits to Promedica Central Physicians (Toledo, 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 Sarah Pratt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Pratt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 3 other insurers list Sarah 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 Sarah Pratt affiliated with any hospitals?

According to CMS data, Sarah Pratt is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Pratt was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.