1. Home
  2. Directory
  3. Texas
  4. Irving
  5. Internal Medicine
  6. NPI Profile

STEPHEN EARL PRATT MD
NPI 1831186030
Internal Medicine in Irving, TX

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
2021 N MACARTHUR BLVD STE 435, IRVING, TX 75061(972) 445-9515(972) 445-9414 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Apr 2, 2025, Oct 8, 2019 and 4 more (7 updates tracked since 2016).

About Stephen Earl Pratt Md NPPES

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

STEPHEN EARL PRATT MD (NPI 1831186030) is an individual internal medicine provider in Irving, Texas, licensed in Texas (P8086) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Medical City Las Colinas, and maintains a secondary practice location in Irving.

NPPES Registry Identity

NPI1831186030
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEPHEN EARL PRATTCredential: MD
Location Address2021 N MACARTHUR BLVD STE 435Irving, TX 75061-2219
Mailing Address9101 Lbj Fwy Ste 710Dallas, TX 75243-1912 · (972) 792-5700 · Fax (214) 509-1170
Phone(972) 445-9515
Fax(972) 445-9414
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1995
Enumeration DateOctober 3, 2005
Last NPPES UpdateMarch 30, 20267 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1831186030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · P8086✔ Licensed in CA · C51826
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2021 N MACARTHUR BLVD STE 435, Irving, TX 75061
Open in Google Maps ↗

Secondary Practice Location 1

Location 12021 N MacArthur Blvd Ste 435Irving, TX 75061 · Phone (972) 445-9515 · Fax (972) 445-9414

Other Identifiers 7

Medicaid333711503TX
Medicaid00C518260CA
Medicaid333711505TX
Other8EK561TX · Bcbs
OtherP01488180TX · Railroad Medicare
Medicaid333711501TX
Other879LPHTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Stephen Earl 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 ID8325039837
PECOS Enrollment IDI20140513000144
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 3

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 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.
63 services37 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.
41 services31 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
39 services17 patients

Hospital Affiliations CMS Care Compare

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

Medical City Las Colinas

Acute Care Hospitals · Irving, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450822
Location6800 N Macarthur BlvdIrving, TX 75039 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75061 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%69 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. JANANI KRISHNASWAMI MD
Internal Medicine
2021 N MACARTHUR BLVD STE 435
IRVING, TX 75061
Dallas County (972) 445-9515
ACADEMIC MEDICAL ASSOCIATES PLLC
Internal Medicine
2021 N MACARTHUR BLVD STE 435
IRVING, TX 75061
Dallas County (972) 445-9515
LAQUISHA COLBY NP
Nurse Practitioner
2021 N MACARTHUR BLVD STE 435
IRVING, TX 75061
Dallas County (972) 445-9515

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 Stephen Pratt's NPI number?

The NPI number for Stephen Pratt is 1831186030. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Stephen Pratt located?

Stephen Pratt practices at 2021 N Macarthur Blvd Ste 435, Irving, TX 75061. The listed phone number is (972) 445-9515.

What is Stephen Pratt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephen Pratt enrolled in Medicare?

Yes. Stephen 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 Stephen Pratt accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Stephen 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 Stephen Pratt affiliated with any hospitals?

According to CMS data, Stephen Pratt is affiliated with Medical City Las Colinas.

When was this NPI record last updated?

The NPPES record for Stephen Pratt was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.