Active NPI 1023086931 Individual Practitioner Male Practitioner

Dr. Kenneth C Prather , MD

General Practice • El Dorado, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Prather, MD is a certified General Practice practicing in El Dorado, AR. With approximately 45 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 1981, Dr. Prather delivers high-quality medical care to the local community at 700 W GROVE ST.

Dr. Prather is affiliated with Crossett Health Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of tissue from wound, 20.0 sq cm or less, removal of tissue from wound, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 W Grove St

El Dorado, AR 717304416

Telephone 8708632000

Associated Practice Facility / Clinic

🏢 Nes Arkansas, Inc. Facility NPI 1184615551

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in El Dorado, AR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +14.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

3 Specialists

Practicing in El Dorado, AR (111 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prather (45 Years) 45 Yrs

El Dorado Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	103	37	$138.00	$87.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	350	59	$138.00	$88.71
97598 Removal of tissue from wound, each additional 20.0 sq cm	45	13	$62.00	$39.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	18	$78.00	$50.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	381	69	$155.47	$91.23
97598 Removal of tissue from wound, each additional 20.0 sq cm	38	14	$150.97	$40.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	15	$78.00	$50.90
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$191.33	$91.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	412	68	$164.00	$90.33
97598 Removal of tissue from wound, each additional 20.0 sq cm	63	16	$209.00	$23.58
99284 Emergency department visit with moderate level of medical decision making	21	21	$1153.00	$115.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	321	64	$164.00	$88.14
97597 Removal of tissue from wound, 20.0 sq cm or less	122	32	$164.00	$35.98
99284 Emergency department visit with moderate level of medical decision making	116	108	$1153.00	$111.70
97598 Removal of tissue from wound, each additional 20.0 sq cm	64	12	$209.00	$24.84
99285 Emergency department visit for life threatening or functioning severity	62	58	$1697.00	$165.51
99283 Emergency department visit with low level of medical decision making	54	52	$608.00	$62.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	834	165	$133.09	$48.60
97597 Removal of tissue from wound, 20.0 sq cm or less	437	106	$96.57	$23.40
99284 Emergency department visit with moderate level of medical decision making	194	175	$1141.82	$111.93
11042 Removal of skin and tissue, 20.0 sq cm or less	157	56	$231.85	$57.10
99285 Emergency department visit for life threatening or functioning severity	139	128	$1682.73	$163.98
97598 Removal of tissue from wound, each additional 20.0 sq cm	124	20	$43.00	$11.01
99283 Emergency department visit with low level of medical decision making	88	80	$595.80	$58.96
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	76	19	$102.00	$25.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	54	$224.53	$74.50
97597 Removal of tissue from wound, 20.0 sq cm or less	61	18	$164.00	$80.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$286.00	$72.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	20	$94.00	$23.09
11044 Removal of bone, 20.0 sq cm or less	26	13	$874.00	$217.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	18	$518.00	$130.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$491.00	$117.14
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$374.31	$96.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	1,000	142	$93.00	$21.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	961	186	$94.00	$22.78
99213 Established patient office or other outpatient visit, typically 15 minutes	714	170	$194.00	$45.83
11042 Removal of skin and tissue, 20.0 sq cm or less	226	81	$232.00	$54.86
97598 Removal of tissue from wound, each additional 20.0 sq cm	147	26	$43.00	$10.35
99284 Emergency department visit with moderate level of medical decision making	117	105	$814.21	$108.45
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	104	19	$102.00	$23.67
99283 Emergency department visit with low level of medical decision making	80	76	$429.00	$57.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	52	$298.00	$70.67
99285 Emergency department visit for life threatening or functioning severity	60	59	$1201.00	$159.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$286.00	$68.46
11044 Removal of bone, 20.0 sq cm or less	31	17	$874.00	$206.05
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$381.00	$88.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$491.00	$115.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,574	210	$94.00	$22.99
97597 Removal of tissue from wound, 20.0 sq cm or less	1,130	155	$93.00	$21.43
99183 Management and supervision of oxygen chamber therapy per session	332	11	$459.00	$100.29
97598 Removal of tissue from wound, each additional 20.0 sq cm	271	28	$43.00	$10.20
99213 Established patient office or other outpatient visit, typically 15 minutes	232	137	$194.00	$46.14
11042 Removal of skin and tissue, 20.0 sq cm or less	195	95	$232.00	$55.23
99284 Emergency department visit with moderate level of medical decision making	104	93	$814.00	$106.87
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	89	22	$102.00	$23.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$286.00	$69.49
99283 Emergency department visit with low level of medical decision making	68	66	$429.00	$55.61
99221 Initial hospital inpatient care per day, typically 30 minutes	66	57	$381.00	$92.03
99285 Emergency department visit for life threatening or functioning severity	56	55	$1201.00	$159.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$298.00	$71.75
11044 Removal of bone, 20.0 sq cm or less	16	12	$874.00	$209.42
10060 Simple or single drainage of skin abscess	13	12	$355.00	$86.96

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AR C5928

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

106158001 (AR)

Commercial Insurance / Payer ID Blue Cross

54158 (AR)

Hospital & Practice Group Affiliations

Crossett Health Foundation

1015 Unity Rd, Crossett, AR 716359443

Phone: 8703640590

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Benjamin Jumper , MD

Anesthesiology

NPI 1003035338

Doctor of Medicine (M.D.)

Angela Norman , FNP

Nurse Practitioner - Family

NPI 1174613962

Family Nurse Practitioner

Dr. Daniel Thrower , MD

Anesthesiology

NPI 1194968420

Doctor of Medicine (M.D.)

Dr. John Schmid , MD

Emergency Medicine

NPI 1295831253

Doctor of Medicine (M.D.)

Madeline Harvey , APRN

Nurse Practitioner - Acute Care

NPI 1306421862

Advanced Practice Registered Nurse

Lauren Van Ness

Nurse Anesthetist, Certified Registered

NPI 1346662061

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2016

Registered at 700 W GROVE ST, EL DORADO, AR 717304416 (Tel: 8708632000)

📍

Updated Business Mailing Address January 27, 2016

Registered at 5220 BELFORT RD, ATTEN: JULIE KAYE, JACKSONVILLE, FL 322566017 (Tel: 9044463737)

👤

Provider Name / Credentials Updated January 27, 2016

Recorded as KENNETH PRATHER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2016

General Practice (License #C5928 in AR)

🟢

Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023086931

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 08, 2006

Last Update: January 27, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5220 Belfort Rd, Atten: Julie Kaye

Jacksonville, FL 322566017

Phone: 9044463737

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.