DR. JOHN CASWELL PRATHER II MD
Accepted Insurance for NPI 1902425101
Orthopaedic Surgery in Collierville, TN

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
511 MARKET BLVD STE 103, COLLIERVILLE, TN 38017(901) 641-3000(901) 259-1698 Get Directions

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2026, Aug 7, 2026, Jun 26, 2025 and 1 more (4 updates tracked since 2020).

Does Dr. Prather take my insurance?

UnitedHealthcare includes Dr. Prather in 12 Tennessee plans sold on HealthCare.gov for 2026, all on its Individual Exchange Benefit Plan Network. The same insurer also lists Dr. Prather in Mississippi.

Call before you book: insurer directories can be out of date, so call the office at (901) 641-3000 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

27 plans · 2026 plan year

Tennessee plans 12 plans

Plans sold to Tennessee residents. Costs are for the standard version of each plan.

UnitedHealthcare

12 plans · EPO
Accepting new patients
UHC Gold Copay Focus (Virtual Urgent Care, No Referrals)EPOGold$069443TN0140030
UHC Gold Advantage (Virtual Urgent Care, No Referrals)EPOGold$2,00069443TN0140031
UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)EPOGold$2,00069443TN0180002
UHC Gold Standard (No Referrals)EPOGold$2,00069443TN0140016
UHC Silver Copay Focus (Virtual Urgent Care, No Referrals)EPOSilver$069443TN0140020
UHC Silver Advantage (Virtual Urgent Care, No Referrals)EPOSilver$3,50069443TN0140029
UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)EPOSilver$3,50069443TN0180001
UHC Silver Standard (No Referrals)EPOSilver$6,00069443TN0140021
UHC Bronze Essential (No Referrals)EPOBronze$10,60069443TN0140032
UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals)EPOExpanded Bronze$069443TN0140028
UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals)EPOExpanded Bronze$069443TN0180003
UHC Bronze Standard (No Referrals)EPOExpanded Bronze$7,50069443TN0140025

Also listed in other states 15 plans · 1 state

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

UnitedHealthcare · Mississippi

15 plans · HMO
Accepting new patientsDeductible $0 to $10,600
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)HMOGold$097560MS0030032
UHC Gold Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$097560MS0080003
UHC Gold Standard (No Referrals)HMOGold$2,00097560MS0030014
UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)HMOGold$2,00097560MS0030031
UHC Gold Value + ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)HMOGold$2,00097560MS0080004
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOSilver$097560MS0030018
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOSilver$097560MS0080002
UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)HMOSilver$3,50097560MS0030029
UHC Silver Advantage + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOSilver$3,50097560MS0080001
UHC Silver Standard (No Referrals)HMOSilver$6,00097560MS0030021
UHC Bronze Essential (No Referrals)HMOBronze$10,60097560MS0030033
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOExpanded Bronze$097560MS0030028
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOExpanded Bronze$097560MS0080006
UHC Bronze Standard (No Referrals)HMOExpanded Bronze$7,50097560MS0030025
UHC Bronze Standard+ (Dental + Vision, No Referrals)HMOExpanded Bronze$7,50097560MS0080007

Questions about Dr. Prather’s insurance

Does Dr. Prather take UnitedHealthcare?

For Tennessee Marketplace plans, yes: UnitedHealthcare includes Dr. Prather in 12 plans for 2026. Call the office at (901) 641-3000 to confirm your plan before booking.

Is Dr. Prather accepting new patients?

The insurers that list Dr. Prather report that Dr. Prather is accepting new patients. Call the office at (901) 641-3000 to confirm your plan before booking.

Do I need a referral to see Dr. Prather?

Not under the Tennessee plans that list Dr. Prather: the 2026 plan files say a specialist referral is not required.

Does Dr. Prather accept Medicare?

Yes. CMS files show Dr. Prather accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.UnitedHealthcare: Oct 13, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.