MRS. PRAGATI PANDEY M.D.
NPI 1831380195
Family Medicine in Montclair, NJ

Active since August 01, 2007PECOS EnrolledAccepts Medicare Assignment
1 SEYMOUR ST, MONTCLAIR, NJ 07042(973) 302-9620 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2025, Feb 23, 2022, Feb 15, 2022 and 1 more (4 updates tracked since 2021).

About Mrs. Pragati Pandey M.d. NPPES

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

MRS. PRAGATI PANDEY M.D. (NPI 1831380195) is an individual family medicine provider in Montclair, New Jersey, licensed in New Jersey (25MA12790400) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1831380195
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. PRAGATI PANDEYCredential: M.D.
Location Address1 SEYMOUR STMontclair, NJ 07042-3771
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 1, 2007
Last NPPES UpdateOctober 28, 20254 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
NPI 1831380195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NJ · 25MA12790400 Licensed in CO · 52993 Licensed in TX · R5022 Licensed in MN · 52854
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 SEYMOUR ST, Montclair, NJ 07042

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

Mrs. Pragati Pandey 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 ID8921290099
PECOS Enrollment IDI20251128000010
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 7

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.
149 services70 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.
62 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients
Administration of hepatitis b vaccine G0010
The Hepatitis B vaccine is a preventive measure against the Hepatitis B virus. It is given as an injection into the muscle. The vaccine stimulates your body to produce antibodies, providing immunity against the virus. It's typically given in 3 doses over a 6-month period.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 10

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

Pediatrics (Adolescent Medicine)
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Orthopaedic Surgery
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Pediatrics
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Pediatrics
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Family Medicine
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Radiology (Diagnostic Radiology)
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Durable Medical Equipment & Medical Supplies
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Dermatology
1 SEYMOUR ST
MONTCLAIR, NJ 07042

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 Pragati Pandey's NPI number?

The NPI number for Pragati Pandey is 1831380195. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Pragati Pandey located?

Pragati Pandey practices at 1 Seymour St, Montclair, NJ 07042. The listed phone number is (973) 302-9620.

What is Pragati Pandey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pragati Pandey enrolled in Medicare?

Yes. Pragati Pandey 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.

When was this NPI record last updated?

The NPPES record for Pragati Pandey was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.