ROY PRUDEN MD
NPI 1831687367
Pediatrics in Austin, TX

Q: What is Roy Pruden's NPI number?

The NPI number for Roy Pruden is 1831687367. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Q: What is Roy Pruden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roy Pruden was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 30, 2018PECOS Enrolled

4900 MUELLER BLVD STE 3S.066C, AUSTIN, TX 78723(512) 324-0165 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2026, Apr 30, 2018 (2 updates tracked since 2018).

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About Roy Pruden Md NPPES

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

ROY PRUDEN MD (NPI 1831687367) is an individual pediatrics provider in Austin, Texas, licensed in Texas (T1178) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2018).

NPPES Registry Identity

NPI1831687367

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameROY PRUDENCredential: MD

Location Address4900 MUELLER BLVD STE 3S.066CAustin, TX 78723-3079

Mailing Address4900 Mueller BlvdAustin, TX 78723-3051

Phone(512) 324-0165

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2018

Enumeration DateApril 30, 2018

Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1831687367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · T1178

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.

4900 MUELLER BLVD STE 3S.066C, Austin, TX 78723

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roy Pruden Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830667583

PECOS Enrollment IDI20260511003088

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

Travis County Emergency Physicians PA

2.3 mi

Emergency Medicine

1201 W 38TH ST
Austin, TX 78705

Reassigned Medicare billing, Texas enrollment
1,511 clinicians in this Medicare group

NPI 1962440933 (330) 493-4443

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 78723 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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 20

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

KATHERINE HENNING JONES MD

Pediatrics