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MRS. GRETCHEN R PRATER M.D.
NPI 1811096696
Pediatrics in Mansfield, TX

Active since September 21, 2006PECOS Enrolled
2140 FM 157 NORTH, MANSFIELD, TX 76063(817) 453-7702(817) 453-7703 Get Directions Write a Review

NPPES record last updated: August 4, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Gretchen R Prater M.d. NPPES

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

MRS. GRETCHEN R PRATER M.D. (NPI 1811096696) is an individual pediatrics provider in Mansfield, Texas, licensed in Texas (H4620) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811096696
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. GRETCHEN R PRATERCredential: M.D.
Location Address2140 FM 157 NORTHMansfield, TX 76063-4847
Mailing Address2140 Fm 157 NorthMansfield, TX 76063-4847 · (817) 453-7702 · Fax (817) 453-7703
Phone(817) 453-7702
Fax(817) 453-7703
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 4, 2009
✔ NPI 1811096696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · H4620
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2140 FM 157 NORTH, Mansfield, TX 76063
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Other Identifiers 1

Medicare UPING91014TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gretchen R Prater M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Pediatrix Medical Group Of Texas Billing, Inc.
219 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
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

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

GRETCHEN PRATER, M.D., P.A.
Pediatrics
2140 FM 157 NORTH
MANSFIELD, TX 76063
Tarrant County (817) 453-7702

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 Gretchen Prater's NPI number?

The NPI number for Gretchen Prater is 1811096696. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Gretchen Prater located?

Gretchen Prater practices at 2140 Fm 157 North, Mansfield, TX 76063. The listed phone number is (817) 453-7702.

What is Gretchen Prater's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gretchen Prater enrolled in Medicare?

Yes. Gretchen Prater is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gretchen Prater's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Prater reassigns Medicare benefits to Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX). 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 Gretchen Prater's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gretchen Prater accept?

Health plans from Blue Cross and Blue Shield of Texas list Gretchen 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.

When was this NPI record last updated?

The NPPES record for Gretchen Prater was last updated on August 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.