Active NPI 1396710075 Individual Practitioner Male Practitioner

Dr. Arudi L Prabhakar , MD

Specialist • La Mesa, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Arudi Prabhakar, MD is a certified Specialist practicing in La Mesa, CA. With approximately 61 years of clinical experience since completing medical education in 1965, Dr. Prabhakar delivers high-quality medical care to the local community at 6136 LAKE MURRAY BLVD.

Dr. Prabhakar is affiliated with Mismo Dermatology Group Apc and accepts Medicare assignment.

Frequently performed procedures and clinical services include revita, per square centimeter, membrane graft or membrane wrap, per square centimeter, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6136 Lake Murray Blvd

La Mesa, CA 919422502

Telephone 6193035500

Fax 6193035595

Associated Practice Facility / Clinic

🏢 Partners Urgent Care-Grossmont Facility NPI 1396041695

Medicare Profile & Education

Medical School

Other

Graduation Year

1965

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in La Mesa, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

61 Yrs +19.3 yrs vs City Avg

City Avg: 41.7 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

13 Specialists

Practicing in La Mesa, CA (6446 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prabhakar (61 Years) 61 Yrs

La Mesa Specialty Average (41.7 Years) 41.7 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
Q4180 Revita, per square centimeter	2,150	23	$1000.00	$604.81
Q4205 Membrane graft or membrane wrap, per square centimeter	1,938	18	$1492.26	$1263.49
11042 Removal of skin and tissue, 20.0 sq cm or less	221	24	$265.00	$75.86
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	216	30	$313.00	$157.03
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	146	22	$374.00	$189.88
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	95	21	$274.06	$130.77
97597 Removal of tissue from wound, 20.0 sq cm or less	49	12	$197.00	$112.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4180 Revita, per square centimeter	1,530	21	$1000.00	$639.76
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	131	22	$313.00	$117.99
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	81	11	$492.00	$249.50
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	81	14	$270.00	$132.83
11042 Removal of skin and tissue, 20.0 sq cm or less	67	18	$265.00	$73.18
43762 Replacement of stomach stoma tube	59	20	$465.84	$262.72
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	54	11	$374.00	$193.55
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	17	$170.00	$78.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	24	15	$190.00	$112.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	293	41	$272.00	$141.42
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	89	15	$313.84	$161.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	74	32	$170.00	$72.98
43762 Replacement of stomach stoma tube	31	14	$465.84	$273.26
43762 Replacement of stomach stoma tube	16	13	$110.00	$31.00
99306 Initial nursing facility visit, typically 45 minutes per day	14	14	$304.00	$173.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	467	69	$272.00	$142.83
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	237	31	$313.94	$162.13
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	166	12	$112.00	$57.48
17250 Application of chemical to stop tissue regrowth in wound	91	23	$70.00	$39.10
99306 Initial nursing facility visit, typically 45 minutes per day	61	58	$304.00	$175.14
43762 Replacement of stomach stoma tube	43	30	$110.00	$28.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	319	61	$272.00	$142.96
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	126	44	$306.94	$161.27
17250 Application of chemical to stop tissue regrowth in wound	104	29	$71.94	$34.15
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	93	36	$170.00	$73.29
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	91	28	$284.37	$237.18
99306 Initial nursing facility visit, typically 45 minutes per day	81	69	$300.89	$176.90
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	79	19	$115.23	$58.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	48	21	$180.83	$97.61
11042 Removal of skin and tissue, 20.0 sq cm or less	45	22	$133.11	$62.36
11044 Removal of bone, 20.0 sq cm or less	44	19	$491.36	$239.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	16	$170.00	$73.12
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	22	22	$189.00	$95.67
43762 Replacement of stomach stoma tube	18	16	$111.39	$29.80
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	12	12	$189.00	$95.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	453	64	$272.00	$135.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	316	67	$301.41	$156.55
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	191	27	$117.65	$56.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	162	59	$170.00	$72.47
11042 Removal of skin and tissue, 20.0 sq cm or less	160	52	$187.31	$62.61
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	128	46	$170.00	$72.47
17250 Application of chemical to stop tissue regrowth in wound	115	15	$71.76	$32.65
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	106	16	$58.47	$26.96
11042 Removal of skin and tissue, 20.0 sq cm or less	94	28	$200.00	$130.42
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	85	28	$275.00	$247.21
99306 Initial nursing facility visit, typically 45 minutes per day	79	74	$222.77	$166.96
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	76	76	$189.00	$94.18
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	56	56	$189.00	$94.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	27	20	$190.00	$96.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	22	$190.00	$96.29
43762 Replacement of stomach stoma tube	21	13	$465.84	$248.80
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	20	17	$662.00	$68.08
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	16	12	$93.00	$46.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	361	91	$356.31	$154.84
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	351	68	$272.13	$136.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	234	91	$204.83	$92.21
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	233	40	$123.92	$55.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	121	75	$163.14	$69.96
11042 Removal of skin and tissue, 20.0 sq cm or less	116	56	$200.45	$61.37
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	112	45	$208.30	$91.45
11042 Removal of skin and tissue, 20.0 sq cm or less	78	31	$188.23	$118.74
99306 Initial nursing facility visit, typically 45 minutes per day	78	74	$222.15	$166.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	74	26	$168.77	$69.52
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	61	12	$61.38	$25.99
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	41	41	$191.02	$91.48
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	40	19	$352.90	$229.37
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	31	31	$286.10	$131.02
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	27	17	$94.93	$44.87
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	23	19	$780.87	$66.96
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	15	$189.00	$91.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,592	246	$199.00	$90.24
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	700	154	$487.04	$152.48
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	631	74	$156.77	$54.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	547	128	$151.00	$68.38
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	340	60	$272.00	$131.04
11042 Removal of skin and tissue, 20.0 sq cm or less	314	86	$261.36	$57.65
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	220	206	$283.00	$127.93
99306 Initial nursing facility visit, typically 45 minutes per day	122	98	$225.78	$160.59
11047 Removal of bone, each additional 20.0 sq cm or less	119	22	$196.00	$94.71
11044 Removal of bone, 20.0 sq cm or less	113	32	$468.06	$220.83
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	88	24	$86.80	$25.56
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	68	15	$197.54	$90.91
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	61	46	$98.02	$43.95
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	43	40	$199.00	$89.40
97597 Removal of tissue from wound, 20.0 sq cm or less	41	13	$84.00	$22.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$247.00	$194.32

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A31627

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Mismo Dermatology Group Apc

6280 Jackson Dr, San Diego, CA 921193436

Phone: 6193033704

Practice Associates & Co-Workers

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

5 Associated Practitioners

Les Mershon , PA-C

Physician Assistant - Medical

NPI 1265723985

Physician Assistant (Certified)

Dr. Steven Jaeger , MD

Emergency Medicine

NPI 1548270564

Doctor of Medicine (M.D.)

Stevie Schlosser

Physician Assistant

NPI 1649017088

Tomi Tomson , PA-C

Physician Assistant

NPI 1790174233

Physician Assistant (Certified)

Dr. Jeffrey White , MD

Family Medicine

NPI 1811938038

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 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2011

Registered at 6136 LAKE MURRAY BLVD, LA MESA, CA 919422502 (Tel: 6193035500)

📍

Updated Business Mailing Address May 18, 2011

Registered at 18231 IRVINE BLVD, STE 204, TUSTIN, CA 927803432 (Tel: 7143895700)

👤

Provider Name / Credentials Updated May 18, 2011

Recorded as ARUDI PRABHAKAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2011

Specialist (License #A31627 in CA)

🟢

Initial NPI Registration & Enumeration February 17, 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: 1396710075

Entity Type:

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

Enumeration Date: February 17, 2006

Last Update: May 18, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

18231 Irvine Blvd, Ste 204

Tustin, CA 927803432

Phone: 7143895700

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

⚠️ Medical Disclaimer

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