DR. MATTHEW RYAN PRATER M.D.
NPI 1972867398
Radiology - Diagnostic Radiology in Columbia, TN

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1224 TROTWOOD AVE, COLUMBIA, TN 38401(931) 381-1111 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2021, May 22, 2017, May 21, 2017 (3 updates tracked since 2017).

About Dr. Matthew Ryan Prater M.d. NPPES

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

DR. MATTHEW RYAN PRATER M.D. (NPI 1972867398) is an individual diagnostic radiology provider in Columbia, Tennessee, licensed in Tennessee (MD0000054482) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Spring Hill.

NPPES Registry Identity

NPI1972867398
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MATTHEW RYAN PRATERCredential: M.D.
Location Address1224 TROTWOOD AVEColumbia, TN 38401-4802
Mailing Address6300 Tower Cir Apt 326Franklin, TN 37067-1531 · (629) 333-8130
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2012
Enumeration DateJune 29, 2012
Last NPPES UpdateAugust 4, 20213 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
NPI 1972867398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TN · MD0000054482
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1224 TROTWOOD AVE, Columbia, TN 38401

Secondary Practice Location 1

Location 15421 Main StSpring Hill, TN 37174-4410 · Phone (615) 577-4057

Other Identifiers 1

OtherT-2594MS · Temporary State Medical License

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

Dr. Matthew Ryan Prater M.d. 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 ID2860795085
PECOS Enrollment IDI20170726004044
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 60

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,200 services23 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
573 services502 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
261 services253 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
221 services212 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
200 services193 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
146 services144 patients

Hospital Affiliations CMS Care Compare 4

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440175
Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County
Emergency services Birthing friendly

Marshall Medical Center

Critical Access Hospitals · Lewisburg, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441309
Location1080 North Ellington ParkwayLewisburg, TN 37091 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Pharmacist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Physician Assistant
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Pediatrics
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Physical Therapist
1224 TROTWOOD AVE
COLUMBIA, TN 38401

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 Matthew Prater's NPI number?

The NPI number for Matthew Prater is 1972867398. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Matthew Prater located?

Matthew Prater practices at 1224 Trotwood Ave, Columbia, TN 38401. The listed phone number is (931) 381-1111.

What is Matthew Prater's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Matthew Prater enrolled in Medicare?

Yes. Matthew Prater 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 Matthew Prater accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Matthew Prater 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 Matthew Prater affiliated with any hospitals?

According to CMS data, Matthew Prater is affiliated with Vanderbilt University Medical Center, Maury Regional Hospital, Southern Tennessee Regional Health System Lawrence and Marshall Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Prater was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.