Active NPI 1326008582 Individual Practitioner Male Practitioner

Dr. Prafull K Dave , MD PA

Specialist • Frederick, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prafull Dave, MD PA is a certified Specialist practicing in Frederick, MD. With approximately 51 years of clinical experience since completing medical education in 1975, Dr. Dave delivers high-quality medical care to the local community at 188 THOMAS JOHNSON DRIVE.

Dr. Dave is affiliated with Meritus Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

188 Thomas Johnson Drive
Suite 200

Frederick, MD 21702

Telephone 3018983010

Fax 3016955485

Associated Practice Facility / Clinic

🏢 Orthotic Solutions, Llc Facility NPI 1265488092

Medicare Profile & Education

Medical School

Other

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Frederick, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +16.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 36.9 Yrs

Regional Practice Density

25 Specialists

Practicing in Frederick, MD (1034 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dave (51 Years) 51 Yrs

Frederick Specialty Average (35.0 Years) 35.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	428	185	$150.00	$119.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	154	146	$279.97	$119.85
99213 Established patient office or other outpatient visit, typically 15 minutes	94	59	$125.00	$84.77
99285 Emergency department visit for life threatening or functioning severity	93	92	$275.11	$161.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	64	$150.00	$71.91
95819 Measurement of brain wave activity (eeg), awake and asleep	75	68	$172.33	$51.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$320.00	$156.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	35	$190.00	$161.24
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$263.64	$75.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$105.00	$52.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$185.00	$107.94

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	531	192	$150.00	$129.84
99285 Emergency department visit for life threatening or functioning severity	92	91	$275.00	$176.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	90	88	$279.94	$130.66
95819 Measurement of brain wave activity (eeg), awake and asleep	64	59	$169.30	$55.95
99213 Established patient office or other outpatient visit, typically 15 minutes	62	41	$125.00	$92.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$320.20	$170.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	34	$150.00	$79.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	42	$190.00	$181.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	16	$185.00	$119.23
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$265.00	$83.41

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	502	195	$148.52	$132.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	136	134	$278.01	$136.93
99285 Emergency department visit for life threatening or functioning severity	134	128	$275.07	$179.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	65	$148.77	$71.51
99213 Established patient office or other outpatient visit, typically 15 minutes	102	69	$122.21	$94.27
95819 Measurement of brain wave activity (eeg), awake and asleep	69	65	$165.00	$58.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	53	$188.04	$184.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$315.00	$175.51
99221 Initial hospital inpatient care per day, typically 30 minutes	33	33	$260.00	$102.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	17	$183.60	$97.67
95819 Measurement of brain wave activity (eeg), awake and asleep	11	11	$437.27	$435.03

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	505	205	$135.61	$133.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	155	146	$264.15	$138.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	149	87	$135.00	$72.06
99213 Established patient office or other outpatient visit, typically 15 minutes	114	74	$112.37	$94.78
95819 Measurement of brain wave activity (eeg), awake and asleep	113	96	$165.00	$59.79
99285 Emergency department visit for life threatening or functioning severity	111	106	$274.91	$185.21
99221 Initial hospital inpatient care per day, typically 30 minutes	74	72	$250.00	$102.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$289.38	$175.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	52	$177.59	$176.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	28	$170.00	$104.33
99284 Emergency department visit with moderate level of medical decision making	27	25	$235.56	$126.87
95819 Measurement of brain wave activity (eeg), awake and asleep	17	17	$409.71	$405.37

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	520	213	$135.30	$113.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	214	207	$265.05	$142.98
99213 Established patient office or other outpatient visit, typically 15 minutes	209	122	$110.67	$78.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	113	$135.00	$74.33
95819 Measurement of brain wave activity (eeg), awake and asleep	116	107	$164.74	$60.82
99285 Emergency department visit for life threatening or functioning severity	83	82	$275.00	$181.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$290.00	$172.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	68	$175.00	$152.11
99221 Initial hospital inpatient care per day, typically 30 minutes	65	63	$250.00	$106.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	28	$170.00	$105.55
95819 Measurement of brain wave activity (eeg), awake and asleep	12	12	$373.33	$356.27

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	463	182	$136.09	$112.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	290	279	$264.69	$140.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	235	149	$135.00	$74.77
95819 Measurement of brain wave activity (eeg), awake and asleep	180	163	$166.11	$60.19
99285 Emergency department visit for life threatening or functioning severity	122	118	$275.00	$178.15
99221 Initial hospital inpatient care per day, typically 30 minutes	120	114	$249.88	$104.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	93	$175.00	$148.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$290.00	$166.64
99213 Established patient office or other outpatient visit, typically 15 minutes	42	25	$110.00	$77.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	29	$170.00	$104.96
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	$315.00	$214.49
95819 Measurement of brain wave activity (eeg), awake and asleep	11	11	$378.64	$376.06

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	528	191	$134.75	$110.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	224	215	$265.04	$139.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	144	100	$135.00	$73.47
95819 Measurement of brain wave activity (eeg), awake and asleep	98	93	$166.79	$59.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	69	$175.00	$147.30
99213 Established patient office or other outpatient visit, typically 15 minutes	74	33	$109.73	$75.56
99285 Emergency department visit for life threatening or functioning severity	71	69	$275.00	$176.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$290.00	$169.59
99221 Initial hospital inpatient care per day, typically 30 minutes	40	38	$250.00	$99.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	16	$170.00	$90.12
99220 Hospital observation care, typically 70 minutes	17	17	$265.59	$190.35
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	$315.00	$214.85

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	461	189	$135.00	$108.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	184	174	$265.08	$139.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	108	$136.64	$73.08
99213 Established patient office or other outpatient visit, typically 15 minutes	119	61	$110.00	$74.91
95819 Measurement of brain wave activity (eeg), awake and asleep	86	79	$165.06	$59.41
99285 Emergency department visit for life threatening or functioning severity	79	78	$274.62	$176.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$290.00	$162.26
99221 Initial hospital inpatient care per day, typically 30 minutes	60	60	$250.00	$103.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	48	$175.00	$145.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	19	$170.00	$106.16
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	$315.00	$185.78

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MD D0020922

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

Meritus Medical Center Inc

11110 Medical Campus Rd, Hagerstown, MD 217426700

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 25, 2016

Registered at 188 THOMAS JOHNSON DRIVE, SUITE 200, FREDERICK, MD 21702 (Tel: 3018983010)

📍

Updated Business Mailing Address March 25, 2016

Registered at 188 THOMAS JOHNSON DR, STE 200, FREDERICK, MD 217025181 (Tel: 3018983010)

👤

Provider Name / Credentials Updated March 25, 2016

Recorded as PRAFULL DAVE, MD PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2016

Specialist (License #D0020922 in MD)

🟢

Initial NPI Registration & Enumeration March 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: 1326008582

Entity Type:

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

Enumeration Date: March 23, 2006

Last Update: March 25, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

188 Thomas Johnson Dr, Ste 200

Frederick, MD 217025181

Phone: 3018983010

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.