Active NPI 1609255181 Individual Practitioner Female Practitioner

Opal Prevatt

Internal Medicine • Harlan, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Opal Prevatt is a certified Internal Medicine practicing in Harlan, KY. With approximately 12 years of clinical experience since graduating from University Of Virginia School Of Medicine in 2014, Opal Prevatt delivers high-quality medical care to the local community at 37 BALL PARK RD.

Opal Prevatt is affiliated with Community Medical Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

37 Ball Park Rd

Harlan, KY 40831

Telephone 6065734520

Associated Practice Facility / Clinic

🏢 Appalachian Regional Healthcare Inc Facility NPI 1275518953

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Harlan, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -8.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Harlan, KY (1608 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prevatt (12 Years) 12 Yrs

Harlan Specialty Average (20.5 Years) 20.5 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	273	93	$330.66	$115.47
99239 Hospital discharge day management, more than 30 minutes	158	146	$284.58	$110.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	64	$160.17	$76.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	29	$95.00	$47.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$622.11	$168.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	48	$243.60	$126.39
99291 Critical care, first 30-74 minutes	34	17	$489.15	$205.57

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	159	80	$124.00	$75.71
99239 Hospital discharge day management, more than 30 minutes	158	124	$181.51	$107.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99	88	$222.11	$123.48
99291 Critical care, first 30-74 minutes	59	26	$467.00	$205.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	23	$182.00	$113.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	14	$95.00	$47.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	23	$332.08	$166.00
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	18	18	$308.00	$152.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$182.00	$93.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	153	65	$182.00	$95.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	50	$124.00	$66.31
99291 Critical care, first 30-74 minutes	85	34	$467.00	$206.19
99239 Hospital discharge day management, more than 30 minutes	80	72	$230.00	$97.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	43	$233.00	$126.37
99217 Hospital observation care on day of discharge	35	33	$135.00	$67.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	31	$465.00	$186.13
99219 Hospital observation care, typically 50 minutes	29	29	$222.00	$125.03
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	17	17	$308.00	$154.02

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	310	103	$124.00	$68.07
99239 Hospital discharge day management, more than 30 minutes	124	107	$230.00	$99.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	88	75	$233.00	$128.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	28	$182.00	$95.22
99291 Critical care, first 30-74 minutes	48	21	$467.00	$208.45
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	33	33	$308.00	$158.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$457.88	$187.32
99219 Hospital observation care, typically 50 minutes	14	14	$222.00	$126.67

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	203	84	$124.00	$69.99
99239 Hospital discharge day management, more than 30 minutes	113	95	$230.00	$101.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	75	$233.00	$133.58
99291 Critical care, first 30-74 minutes	36	21	$467.00	$195.86
99219 Hospital observation care, typically 50 minutes	26	23	$222.00	$131.97
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	25	24	$308.00	$164.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	14	$182.00	$101.41
99217 Hospital observation care on day of discharge	14	13	$135.00	$69.97

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	301	112	$124.00	$69.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	124	102	$233.00	$131.16
99239 Hospital discharge day management, more than 30 minutes	121	106	$230.00	$101.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	22	$182.00	$99.64
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	42	38	$308.00	$159.72
99217 Hospital observation care on day of discharge	35	32	$135.00	$69.57
99219 Hospital observation care, typically 50 minutes	33	32	$222.00	$128.11
99238 Hospital discharge day management, 30 minutes or less	29	28	$152.00	$69.54
99225 Subsequent observation care, typically 25 minutes per day	27	20	$124.00	$70.00

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	93	33	$124.00	$69.91
99238 Hospital discharge day management, 30 minutes or less	29	27	$152.00	$69.82
99239 Hospital discharge day management, more than 30 minutes	22	22	$230.00	$102.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	18	$233.00	$131.28
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$188.00	$97.22
99217 Hospital observation care on day of discharge	17	15	$135.00	$69.83

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 00000

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Community Medical Associates Inc

200 E Chestnut St, Louisville, KY 402021831

Phone: 5026294409

Secondary Practice Locations

4725 N Federal Hwy

Fort Lauderdale, FL 333084603

Phone: 9174124016

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Nandakishore Polkampalli , MD

Family Medicine

NPI 1013103076

Doctor of Medicine (M.D.)

Michelle Scearse , APRN

Nurse Practitioner - Family

NPI 1013344928

Advanced Practice Registered Nurse

Rachel Wilson , APRN

Nurse Practitioner - Family

NPI 1013862598

Advanced Practice Registered Nurse

Vanessa Jaco , CRNP

Nurse Practitioner - Acute Care

NPI 1114049095

Certified Registered Nurse Practitioner

Dr. Paula Diamante , MD

Pediatrics

NPI 1134233281

Doctor of Medicine (M.D.)

Dr. Jose Echeverria , MD

Internal Medicine

NPI 1215929575

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location July 17, 2018

Registered at 37 BALL PARK RD, HARLAN, KY 40831 (Tel: 6065734520)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2018

Student in an Organized Health Care Education/Training Program

📍

Updated Practice Location May 14, 2018

Registered at 4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308 (Tel: 9174124016)

📍

Updated Business Mailing Address May 14, 2018

Registered at 37 BALL PARK RD, HARLAN, KY 408311701

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2018

Internal Medicine (License #00000 in KY)

✅

NPI Profile Active May 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 29, 2015

Registered at 4725 N FEDERAL HWY, FORT LAUDERDALE, FL 333084603 (Tel: 9174124016)

📍

Updated Business Mailing Address May 29, 2015

Registered at 4314 42ND ST, APT 3R, SUNNYSIDE, NY 111042896

👤

Provider Name / Credentials Updated May 29, 2015

Recorded as OPAL PREVATT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 29, 2015

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: 1609255181

Entity Type:

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

Enumeration Date: May 29, 2015

Last Update: July 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

37 Ball Park Rd

Harlan, KY 408311701

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.