Active NPI 1407963044 Individual Practitioner Male Practitioner

Dr. Steven G Pratt , MD

Ophthalmology • La Jolla, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Steven Pratt, MD is a certified Ophthalmology practicing in La Jolla, CA. With approximately 51 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1975, Dr. Pratt delivers high-quality medical care to the local community at 9850 GENESEE AVE.

Dr. Pratt is affiliated with Retina Institute Of California Medical Group, A California Medical Par and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9850 Genesee Ave
Suite 310

La Jolla, CA 920371224

Telephone 8584573010

Fax 8584570028

Associated Practice Facility / Clinic

🏢 Rhona H. Fink, Md & Julie A. Papatheofanis, Md Facility NPI 1073514915

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in La Jolla, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +22.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

50 Specialists

Practicing in La Jolla, CA (3116 Statewide)

Telehealth Adoption Rate

8.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pratt (51 Years) 51 Yrs

La Jolla Specialty Average (29.0 Years) 29.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	212	106	$191.80	$96.02
92134 Imaging of retina	81	79	$89.68	$43.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	46	$270.08	$136.65
92014 Established patient complete exam of visual system	56	55	$279.54	$136.70
92285 Photography of content of eyes	43	32	$52.40	$26.46
92133 Imaging of optic nerve	35	32	$80.80	$37.48
92083 Exam of visual field with extended testing	28	24	$142.50	$68.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$239.16	$119.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$354.13	$167.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	97	$195.78	$97.03
92285 Photography of content of eyes	160	81	$52.90	$25.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	80	$277.62	$136.95
92083 Exam of visual field with extended testing	41	39	$140.76	$70.24
67904 Repair of tendon of upper eyelid	27	18	$1620.41	$635.28
92014 Established patient complete exam of visual system	27	27	$283.00	$139.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	16	$380.89	$191.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$124.06	$61.42
92133 Imaging of optic nerve	15	15	$82.00	$38.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$384.18	$176.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	108	$199.95	$98.51
92285 Photography of content of eyes	133	92	$53.00	$24.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	81	$280.45	$138.71
92083 Exam of visual field with extended testing	69	64	$143.00	$70.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	36	$396.66	$194.24
92014 Established patient complete exam of visual system	22	22	$284.00	$141.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$362.00	$180.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$479.00	$236.10
67904 Repair of tendon of upper eyelid	13	11	$1656.00	$638.66
92133 Imaging of optic nerve	12	12	$83.00	$38.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	370	180	$197.71	$98.34
92014 Established patient complete exam of visual system	174	170	$280.18	$140.04
92285 Photography of content of eyes	113	92	$51.97	$26.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	80	$281.71	$139.27
92083 Exam of visual field with extended testing	64	62	$141.72	$71.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$361.00	$179.85
92133 Imaging of optic nerve	40	38	$82.00	$38.40
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	20	18	$2118.00	$908.94
92004 New patient complete exam of visual system	19	19	$333.00	$166.68
92134 Imaging of retina	18	18	$90.22	$43.84
67875 Temporary closure of eyelids by suture	18	17	$387.67	$51.55
92100 Multiple measurements of eye fluid pressure over an extended time period	13	13	$193.00	$96.37
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	11	$1637.50	$534.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$243.00	$121.34
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	12	12	$1610.50	$362.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$123.00	$61.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	168	$144.43	$80.79
92014 Established patient complete exam of visual system	174	172	$239.22	$138.23
92285 Photography of content of eyes	66	61	$52.42	$24.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	59	$225.32	$117.15
92083 Exam of visual field with extended testing	59	59	$136.73	$70.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$281.59	$171.14
92133 Imaging of optic nerve	39	39	$84.77	$37.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$82.50	$49.36
92134 Imaging of retina	20	17	$90.00	$44.06
92004 New patient complete exam of visual system	19	19	$265.32	$164.26
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	14	$2067.33	$797.13
67875 Temporary closure of eyelids by suture	15	14	$327.87	$51.65
68840 Probing of nasal-tear duct	14	12	$382.86	$153.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$193.38	$115.44
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	11	$1624.00	$539.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	522	244	$80.00	$78.29
92014 Established patient complete exam of visual system	212	209	$139.50	$135.39
92285 Photography of content of eyes	96	80	$60.00	$23.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	78	$119.79	$114.36
92083 Exam of visual field with extended testing	70	69	$105.00	$69.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$175.00	$171.60
92004 New patient complete exam of visual system	44	44	$164.09	$160.89
92133 Imaging of optic nerve	43	42	$100.00	$36.78
67904 Repair of tendon of upper eyelid	21	16	$1800.00	$634.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$125.00	$113.44
67875 Temporary closure of eyelids by suture	20	19	$250.00	$51.15
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	18	17	$1800.00	$904.73
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	13	13	$1400.00	$643.36
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	12	$1200.00	$357.31
67950 Enlargement of eyelid margin	12	11	$1300.00	$266.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	387	191	$80.23	$74.20
92014 Established patient complete exam of visual system	186	184	$139.14	$130.50
92285 Photography of content of eyes	129	99	$60.00	$21.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	76	$117.07	$108.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$175.00	$163.51
92083 Exam of visual field with extended testing	39	39	$105.00	$67.32
92133 Imaging of optic nerve	29	29	$100.00	$36.96
92004 New patient complete exam of visual system	26	26	$163.46	$154.69
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	25	23	$1800.00	$820.96
67875 Temporary closure of eyelids by suture	22	19	$250.00	$47.94
92250 Photography of the retina	19	19	$100.00	$60.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$50.00	$45.02
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	17	16	$1200.00	$305.29
67904 Repair of tendon of upper eyelid	16	12	$1800.00	$612.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$125.00	$109.05
68840 Probing of nasal-tear duct	14	12	$378.57	$162.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$169.64	$146.69
68815 Probing of nasal-tear duct with insertion of tube or stent	13	11	$538.46	$136.19
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$1500.00	$463.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$220.00	$190.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	403	186	$80.00	$75.76
92014 Established patient complete exam of visual system	182	181	$134.89	$129.60
92285 Photography of content of eyes	131	116	$60.00	$22.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	67	$115.00	$111.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$175.00	$168.93
92083 Exam of visual field with extended testing	48	47	$105.00	$68.48
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	31	27	$1800.00	$882.69
92133 Imaging of optic nerve	29	29	$100.00	$36.87
67904 Repair of tendon of upper eyelid	28	20	$1657.14	$616.64
67875 Temporary closure of eyelids by suture	24	20	$250.00	$50.76
68840 Probing of nasal-tear duct	24	21	$375.42	$159.63
92004 New patient complete exam of visual system	23	23	$165.00	$156.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$125.00	$111.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$50.00	$45.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$220.00	$212.14
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$1500.00	$450.91
67917 Extensive repair of turning-outward eyelid defect	13	11	$1100.00	$257.56
68720 Creation of drainage tract from tear sac to the nasal cavity	12	12	$2100.00	$855.34
68815 Probing of nasal-tear duct with insertion of tube or stent	12	12	$625.00	$130.51

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA G323790

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G323790 (CA)

Hospital & Practice Group Affiliations

Retina Institute Of California Medical Group, A California Medical Par

320 Santa Fe Dr, Encinitas, CA 920245139

Phone: 7609437141

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Arthur Perry , MD

Ophthalmology

NPI 1194832725

Doctor of Medicine (M.D.)

Dr. Mehri Moshtaghi , OD

Optometrist

NPI 1700194040

Doctor of Optometry

Dr. Daniel Coden , MD

Ophthalmology

NPI 1942317508

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2008

Registered at 9850 GENESEE AVE, SUITE 310, LA JOLLA, CA 920371224 (Tel: 8584573010)

📍

Updated Business Mailing Address May 06, 2008

Registered at 9850 GENESEE AVE, SUITE 310, LA JOLLA, CA 920371224 (Tel: 8584573010)

👤

Provider Name / Credentials Updated May 06, 2008

Recorded as STEVEN PRATT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2008

Ophthalmology (License #G323790 in CA)

🟢

Initial NPI Registration & Enumeration August 23, 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: 1407963044

Entity Type:

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

Enumeration Date: August 23, 2006

Last Update: May 06, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9850 Genesee Ave, Suite 310

La Jolla, CA 920371224

Phone: 8584573010

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.