Active NPI 1639130354 Individual Practitioner Male Practitioner

Dr. Antonio R Prats , MD

Neurological Surgery • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Antonio Prats, MD is a certified Neurological Surgery practicing in Miami, FL. With approximately 44 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1982, Dr. Prats delivers high-quality medical care to the local community at 3641 S MIAMI AVE STE 353B.

Dr. Prats is affiliated with Consultants In Neurological Surgery Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3641 S Miami Ave Ste 353b

Miami, FL 331334204

Telephone 3058544334

Fax 3058546966

Associated Practice Facility / Clinic

🏢 Antonio R. Prats, M.d., P.a. Facility NPI 1366610685

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +20.1 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

74 Specialists

Practicing in Miami, FL (675 Statewide)

Telehealth Adoption Rate

39.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prats (44 Years) 44 Yrs

Miami Specialty Average (23.9 Years) 23.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	31	$495.00	$134.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$774.00	$177.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	41	$495.00	$129.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$774.00	$173.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	39	$495.00	$133.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$774.00	$179.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	55	$501.64	$140.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$774.00	$184.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	19	$966.00	$217.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	50	$495.00	$117.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	29	$354.00	$78.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	39	$966.00	$222.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$774.00	$180.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	79	$499.39	$115.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	32	$354.00	$78.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	48	$966.00	$219.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$774.00	$176.19
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	11	$696.32	$340.82
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$8000.00	$1007.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	185	53	$354.00	$75.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	71	$495.00	$109.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	53	$966.00	$210.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$774.00	$170.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	54	$495.00	$108.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	52	$966.00	$208.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$774.00	$168.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	17	$354.00	$73.53

Medical Specialties & State Licenses

CMS Verified: 2021-05-10

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License FL ME56336

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

035679400 (FL)

Hospital & Practice Group Affiliations

Consultants In Neurological Surgery Llp

3641 S Miami Ave, Miami, FL 331334204

Phone: 3058544334

Consultants In Neurological Surgery Llp

3663 S Miami Ave, Miami, FL 331334253

Phone: 3058544400

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Violeta Prats , MD

Psychologist - Clinical

NPI 1790025161

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 10, 2021

Registered at 3641 S MIAMI AVE STE 353B, MIAMI, FL 331334204 (Tel: 3058544334)

📍

Updated Business Mailing Address May 10, 2021

Registered at 3641 S MIAMI AVE STE 353B, MIAMI, FL 331334204 (Tel: 3058544334)

✅

NPI Profile Active February 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2016

Registered at 3661 S MIAMI AVE, SUITE 605, MIAMI, FL 331334236 (Tel: 3058544334)

📍

Updated Business Mailing Address February 15, 2016

Registered at 3661 S MIAMI AVE, SUITE 605, MIAMI, FL 331334236 (Tel: 3058544334)

👤

Provider Name / Credentials Updated February 15, 2016

Recorded as ANTONIO PRATS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2016

Neurological Surgery (License #ME56336 in FL)

🟢

Initial NPI Registration & Enumeration March 31, 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: 1639130354

Entity Type:

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

Enumeration Date: March 31, 2006

Last Update: May 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3641 S Miami Ave Ste 353b

Miami, FL 331334204

Phone: 3058544334

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.