ROBERT STEPHEN PRANGER MD
NPI 1972582856
Family Medicine in Waterloo, IA

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
220 SOUTHBROOKE DR, WATERLOO, IA 50702(319) 236-7751(319) 236-7753 Get Directions Write a Review

NPPES record last updated: November 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2017, Nov 2, 2017, Oct 20, 2017 (3 updates tracked since 2017).

About Robert Stephen Pranger Md NPPES

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

ROBERT STEPHEN PRANGER MD (NPI 1972582856) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (MD34769) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2001).

NPPES Registry Identity

NPI1972582856
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT STEPHEN PRANGERCredential: MD
Location Address220 SOUTHBROOKE DRWaterloo, IA 50702-5802
Mailing Address220 Southbrooke DrWaterloo, IA 50702-5802 · (319) 236-7751 · Fax (319) 236-7753
Fax(319) 236-7753
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2001
Enumeration DateJanuary 10, 2006
Last NPPES UpdateNovember 8, 20173 updates tracked since enumeration
NPI 1972582856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · MD34769
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.
220 SOUTHBROOKE DR, Waterloo, IA 50702

Other Identifiers 5

OtherP01020603IA · Rrmedicare
Medicare PINIB1838002IA
Medicaid1972582856IA
Other272308584-02IA · United Healthcare
Medicare UPINH66977IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Robert Stephen Pranger 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 ID3274439336
PECOS Enrollment IDI20031209001044
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.

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.
55 services29 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.
27 services22 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.
27 services27 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 5

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

Nurse Practitioner (Family)
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Family Medicine
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Clinic/Center (Family Planning, Non-Surgical)
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Social Worker (Clinical)
220 SOUTHBROOKE DR
WATERLOO, IA 50702
Family Medicine
220 SOUTHBROOKE DR
WATERLOO, IA 50702

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 Robert Pranger's NPI number?

The NPI number for Robert Pranger is 1972582856. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Robert Pranger located?

Robert Pranger practices at 220 Southbrooke Dr, Waterloo, IA 50702. The listed phone number is (319) 236-7751.

What is Robert Pranger's specialty?

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

Is Robert Pranger enrolled in Medicare?

Yes. Robert Pranger 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 Robert Pranger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Robert Pranger 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 Robert Pranger affiliated with any hospitals?

According to CMS data, Robert Pranger is affiliated with Mercyone Waterloo Medical Center and Allen Hospital.

When was this NPI record last updated?

The NPPES record for Robert Pranger was last updated on November 8, 2017. 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.