Active NPI 1104872068 Individual Practitioner Male Practitioner

Dr. Timothy James Pratt , MD

Internal Medicine • Fenton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Pratt, MD is a certified Internal Medicine practicing in Fenton, MO. With approximately 43 years of clinical experience since graduating from Tulane University School Of Medicine in 1983, Dr. Pratt delivers high-quality medical care to the local community at 1011 BOWLES AVENUE.

Dr. Pratt does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient outpatient office visit, vaccine for influenza for injection into muscle. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1011 Bowles Avenue
Suite 121

Fenton, MO 63026

Telephone 3147662066

Fax 6363261802

Associated Practice Facility / Clinic

🏢 Ankle And Foot Institute Of Missouri P.c. Facility NPI 1831335819

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1983

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fenton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +12.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 25.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Fenton, MO (2747 Statewide)

Telehealth Adoption Rate

23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pratt (43 Years) 43 Yrs

Fenton Specialty Average (31.0 Years) 31.0 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
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$211.00	$118.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	32	$202.00	$117.05
99213 Established patient office or other outpatient visit, typically 15 minutes	18	12	$136.00	$82.65
90653 Vaccine for influenza for injection into muscle	18	18	$100.00	$81.82
G0008 Administration of influenza virus vaccine	18	18	$27.06	$25.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	11	$82.00	$51.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$300.00	$152.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$211.00	$118.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	32	$202.00	$118.04
99213 Established patient office or other outpatient visit, typically 15 minutes	36	21	$136.00	$83.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$82.00	$52.21
G0008 Administration of influenza virus vaccine	20	20	$26.00	$25.48
90662 Influenza vaccine split virus, preservative free	18	18	$120.00	$71.74

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	63	37	$202.00	$120.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	12	$198.00	$95.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$211.00	$122.25
99213 Established patient office or other outpatient visit, typically 15 minutes	29	21	$136.00	$85.16
G0008 Administration of influenza virus vaccine	25	24	$26.00	$25.50
90662 Influenza vaccine split virus, preservative free	24	23	$120.00	$68.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	13	$82.00	$53.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	11	$386.00	$184.70
99239 Hospital discharge day management, more than 30 minutes	14	11	$201.00	$97.97

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	69	42	$202.00	$122.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$211.00	$125.07
99213 Established patient office or other outpatient visit, typically 15 minutes	34	22	$136.00	$86.48
G0008 Administration of influenza virus vaccine	25	25	$26.00	$16.80
90662 Influenza vaccine split virus, preservative free	22	22	$120.00	$65.26

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	59	39	$202.00	$102.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$211.00	$108.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	11	$138.00	$68.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	13	$82.00	$42.96
G0008 Administration of influenza virus vaccine	17	17	$27.12	$16.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	13	$386.00	$192.52
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$136.00	$71.03
90653 Vaccine for influenza for injection into muscle	14	14	$100.00	$59.53

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	97	44	$202.09	$101.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$211.00	$107.92
99213 Established patient office or other outpatient visit, typically 15 minutes	26	18	$136.00	$69.18
G0008 Administration of influenza virus vaccine	22	22	$26.00	$16.20
90653 Vaccine for influenza for injection into muscle	19	19	$100.00	$57.59

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	115	50	$202.00	$100.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	14	$115.95	$38.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	11	$198.00	$98.41
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$136.00	$68.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	18	$386.00	$191.49
99239 Hospital discharge day management, more than 30 minutes	19	16	$201.00	$101.43
99221 Initial hospital inpatient care per day, typically 30 minutes	19	14	$280.26	$100.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$207.79	$108.77
99238 Hospital discharge day management, 30 minutes or less	17	13	$186.41	$72.06
G0008 Administration of influenza virus vaccine	14	14	$26.00	$19.90
90653 Vaccine for influenza for injection into muscle	13	13	$100.00	$53.58

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	101	48	$202.00	$99.92
G0008 Administration of influenza virus vaccine	24	24	$26.54	$24.26
99213 Established patient office or other outpatient visit, typically 15 minutes	21	14	$136.00	$67.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$211.00	$107.31
90653 Vaccine for influenza for injection into muscle	16	16	$101.63	$47.74

Medical Specialties & State Licenses

CMS Verified: 2024-06-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MO R9E55

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

202477915 (MO)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Anastasia Averbukh , NP

Nurse Practitioner - Family

NPI 1073903134

Nurse Practitioner

Dr. Richard Wittock , DPM

Podiatrist

NPI 1215943105

Doctor of Podiatric Medicine

Dr. Douglas Dripps , MD

Internal Medicine

NPI 1295768323

Doctor of Medicine (M.D.)

Dr. Allison Davis , MD

Surgery

NPI 1871617993

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 September 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2012

Registered at 1011 BOWLES AVENUE, SUITE 121, FENTON, MO 63026 (Tel: 3147662066)

📍

Updated Business Mailing Address September 12, 2012

Registered at PO BOX 220375, KIRKWOOD, MO 631220375 (Tel: 3147662066)

👤

Provider Name / Credentials Updated September 12, 2012

Recorded as TIMOTHY PRATT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2012

Internal Medicine (License #R9E55 in MO)

🟢

Initial NPI Registration & Enumeration May 25, 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: 1104872068

Entity Type:

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

Enumeration Date: May 25, 2006

Last Update: June 19, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 220375

Kirkwood, MO 631220375

Phone: 3147662066

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.