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JUSTIN MATTHEW PRATT MD
NPI 1871989244
Family Medicine in Lafayette, LA

Active since April 12, 2015PECOS EnrolledAccepts Medicare Assignment
88.51/100
CMS Quality Rating
1630 RUE DU BELIER APT 1307, LAFAYETTE, LA 70506(561) 308-4083 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Matthew Pratt Md NPPES

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

JUSTIN MATTHEW PRATT MD (NPI 1871989244) is an individual family medicine provider in Lafayette, Louisiana, licensed in Louisiana (310182) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Acadian Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871989244
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN MATTHEW PRATTCredential: MD
Location Address1630 RUE DU BELIER APT 1307Lafayette, LA 70506
Mailing Address1630 Rue Du Belier Apt 1307Lafayette, LA 70506-6559 · (561) 308-4083
Phone(561) 308-4083
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 12, 2015
Last NPPES UpdateJuly 31, 2018
✔ NPI 1871989244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in LA · 310182✔ Licensed in LA · GETP.201476
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.
1630 RUE DU BELIER APT 1307, Lafayette, LA 70506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.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

Justin Matthew 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 ID5597037911
PECOS Enrollment IDI20180817000391
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
152 services142 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
140 services119 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
100 services90 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
51 services50 patients

Hospital Affiliations CMS Care Compare

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

Acadian Medical Center

Acute Care Hospitals · Eunice, LA
OwnershipProprietary
CMS Certification Number190318
Location3501 Highway 190 EastEunice, LA 70535 · St. Landry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70506 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

88.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.86
Improvement Activities40

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 Justin Pratt's NPI number?

The NPI number for Justin Pratt is 1871989244. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is Justin Pratt located?

Justin Pratt practices at 1630 Rue Du Belier Apt 1307, Lafayette, LA 70506. The listed phone number is (561) 308-4083.

What is Justin Pratt's specialty?

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

Is Justin Pratt enrolled in Medicare?

Yes. Justin 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 Justin Pratt accept?

Health plans from CHRISTUS Health Plan list Justin 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 Justin Pratt affiliated with any hospitals?

According to CMS data, Justin Pratt is affiliated with Acadian Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Pratt was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.