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DR. ROGER DEVERN PRUITT D.O.
NPI 1932104353
Pediatrics in Wimberley, TX

Active since June 14, 2005PECOS Enrolled
180 JOE WIMBERLEY BLVD, STE 102, WIMBERLEY, TX 78676(512) 847-7700(512) 847-7701 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Roger Devern Pruitt D.o. NPPES

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

DR. ROGER DEVERN PRUITT D.O. (NPI 1932104353) is an individual pediatrics provider in Wimberley, Texas, licensed in Texas (L1706) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932104353
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ROGER DEVERN PRUITTCredential: D.O.
Location Address180 JOE WIMBERLEY BLVD, STE 102Wimberley, TX 78676-6083
Mailing Address180 Joe Wimberley Blvd, Ste 102Wimberley, TX 78676-6083 · (512) 847-7700 · Fax (512) 847-7701
Phone(512) 847-7700
Fax(512) 847-7701
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1932104353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L1706
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.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License L1706 (TX)
180 JOE WIMBERLEY BLVD, Wimberley, TX 78676
Open in Google Maps ↗

Other Identifiers 3

Other7061167TX · Aetna
Other0085HZTX · Blue Cross Blue Shield
Medicaid157905401TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roger Devern Pruitt D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Privia Medical Group Gulf Coast, PLLC
163 mi
Obstetrics & Gynecology
7900 FANNIN ST STE 4000
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 497 clinicians in this Medicare group
NPI 1578969465 (713) 512-7500

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 78676 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

KARI LYNN MONK P.A.- C.
Physician Assistant
180 JOE WIMBERLEY BLVD
WIMBERLEY, TX 78676
Hays County (512) 847-7700
WIMBERLEY PEDIATRICS & ADOLESCENT MEDICINE, P.A.
Pediatrics
180 JOE WIMBERLEY BLVD, SUITE 102
WIMBERLEY, TX 78676
Hays County (512) 847-7700

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 Roger Pruitt's NPI number?

The NPI number for Roger Pruitt is 1932104353. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Roger Pruitt located?

Roger Pruitt practices at 180 Joe Wimberley Blvd Ste 102, Wimberley, TX 78676. The listed phone number is (512) 847-7700.

What is Roger Pruitt's specialty?

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

Is Roger Pruitt enrolled in Medicare?

Yes. Roger Pruitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roger Pruitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Pruitt reassigns Medicare benefits to Privia Medical Group Gulf Coast, PLLC (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roger Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roger Pruitt accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Roger Pruitt 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.

When was this NPI record last updated?

The NPPES record for Roger Pruitt was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.