Active NPI 1245667575 Individual Practitioner Male Practitioner

Michael Richardson Prafka , PA-C

Physician Assistant • Cary, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Prafka, PA-C is a certified Physician Assistant practicing in Cary, NC. With approximately 13 years of clinical experience since completing medical education in 2013, Michael Prafka delivers high-quality medical care to the local community at 6715 MCCRIMMON PKWY STE 300.

Michael Prafka maintains professional affiliations with Unc Physicians Network Llc, North Carolina Mg Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6715 Mccrimmon Pkwy Ste 300

Cary, NC 275191916

Telephone 9194814997

Fax 9193883271

Associated Practice Facility / Clinic

🏢 Unc Physicians Network, Llc Facility NPI 1912205410

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cary, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +2.5 yrs vs City Avg

City Avg: 10.5 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

162 Specialists

Practicing in Cary, NC (9374 Statewide)

Telehealth Adoption Rate

18.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prafka (13 Years) 13 Yrs

Cary Specialty Average (10.5 Years) 10.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	54	$277.00	$102.17
99213 Established patient office or other outpatient visit, typically 15 minutes	87	53	$196.00	$72.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$390.00	$103.19

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	73	49	$277.45	$102.73
99213 Established patient office or other outpatient visit, typically 15 minutes	68	44	$196.00	$72.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$352.90	$103.81
83036 Hemoglobin A1C level	15	11	$33.60	$9.52
G0008 Administration of influenza virus vaccine	14	14	$58.00	$29.17
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$216.00	$75.81

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	88	62	$278.00	$104.15
99213 Established patient office or other outpatient visit, typically 15 minutes	78	58	$196.00	$74.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$337.00	$107.18
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$50.00	$16.38
83036 Hemoglobin A1C level	18	13	$36.00	$9.58
81002 Urinalysis, manual test	14	12	$11.00	$3.43
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	13	13	$75.00	$37.09
G0008 Administration of influenza virus vaccine	12	11	$37.00	$28.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	1,105	1,104	$75.00	$28.27
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	933	933	$75.00	$16.75
0004A Fee covid-19 vac 1 res	144	144	$75.00	$38.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	60	$267.89	$107.13
99213 Established patient office or other outpatient visit, typically 15 minutes	72	52	$186.24	$75.39
0003A Adm sarscov2 30mcg/0.3ml 3rd	42	42	$75.00	$38.17
0012A Adm sarscov2 100mcg/0.5ml2nd	40	40	$75.00	$38.17
0011A Adm sarscov2 100mcg/0.5ml1st	37	37	$75.00	$38.17
0064A Adm sarscov2 50mcg/0.25mlbst	27	27	$75.00	$38.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$333.86	$109.10
83036 Hemoglobin A1C level	14	11	$35.57	$9.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	51	$176.45	$62.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	48	$260.66	$90.54
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$57.00	$37.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	88	$163.02	$59.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	41	$245.24	$87.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$288.20	$94.10
81002 Urinalysis, manual test	23	20	$10.52	$3.26
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$34.43	$17.32
99497 Advance care planning, first 30 minutes	13	13	$247.31	$69.50
G0008 Administration of influenza virus vaccine	13	13	$36.00	$15.79
G0009 Administration of pneumococcal vaccine	12	12	$36.00	$15.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	638	281	$3.64	$2.94
80053 Blood test, comprehensive group of blood chemicals	470	271	$16.83	$12.76
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	440	263	$14.12	$9.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	260	$129.37	$87.77
99213 Established patient office or other outpatient visit, typically 15 minutes	437	217	$89.25	$59.42
80061 Blood test, lipids (cholesterol and triglycerides)	422	251	$25.55	$16.17
84443 Blood test, thyroid stimulating hormone (TSH)	226	156	$27.82	$20.33
83036 Hemoglobin A1C level	201	131	$17.71	$11.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg	169	18	$2.08	$0.11
80307 Testing for presence of drug, by chemistry analyzers	157	49	$80.00	$70.39
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	123	38	$46.59	$34.45
82044 Urine microalbumin (protein) analysis	111	96	$6.15	$5.70
82570 Creatinine level to test for kidney function or muscle injury	110	95	$10.11	$6.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	28	$28.19	$16.38
81003 Automated urinalysis test	70	56	$5.17	$2.71
82306 Vitamin d-3 level	54	44	$57.46	$35.82
82728 Ferritin (blood protein) level	53	40	$26.61	$16.49
83735 Magnesium level	44	39	$12.88	$8.10
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	37	29	$16.24	$11.48
G0103 Prostate cancer screening; prostate specific antigen test (psa)	31	31	$31.01	$22.26
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$31.11	$13.72
G0008 Administration of influenza virus vaccine	27	27	$48.85	$19.38
82607 Cyanocobalamin (vitamin B-12) level	26	22	$25.42	$18.24
80048 Blood test, basic group of blood chemicals (calcium, total)	25	22	$16.51	$10.23
G0009 Administration of pneumococcal vaccine	22	22	$38.80	$19.38
J1040 Injection, methylprednisolone acetate, 80 mg	18	15	$12.06	$10.20
90670 Pneumococcal vaccine for injection into muscle	18	18	$193.95	$180.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$251.32	$134.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$169.22	$94.81
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$26.00	$18.65
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$26.14	$23.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	733	303	$3.56	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	636	283	$124.11	$87.46
99213 Established patient office or other outpatient visit, typically 15 minutes	528	219	$85.74	$59.15
80053 Blood test, comprehensive group of blood chemicals	527	280	$16.23	$9.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	485	280	$13.59	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	474	273	$25.11	$13.59
84443 Blood test, thyroid stimulating hormone (TSH)	308	210	$27.47	$21.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg	281	25	$1.14	$0.12
83036 Hemoglobin A1C level	224	132	$17.57	$13.05
80307 Testing for presence of drug, by chemistry analyzers	217	55	$80.00	$78.21
82044 Urine microalbumin (protein) analysis	158	123	$5.82	$3.85
82570 Creatinine level to test for kidney function or muscle injury	151	118	$9.82	$6.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	37	$27.96	$20.45
81003 Automated urinalysis test	101	71	$5.05	$2.99
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	92	54	$15.47	$11.79
85610 Blood test, clotting time	92	12	$8.36	$5.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	85	85	$188.47	$138.83
G0103 Prostate cancer screening; prostate specific antigen test (psa)	54	54	$31.01	$24.73
80048 Blood test, basic group of blood chemicals (calcium, total)	47	33	$17.71	$10.35
83735 Magnesium level	45	28	$12.88	$9.01
82306 Vitamin d-3 level	43	36	$58.62	$39.80
G0009 Administration of pneumococcal vaccine	39	39	$30.50	$23.92
71020 X-ray of chest, 2 views, front and side	32	30	$25.75	$15.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	30	$223.49	$166.47
93000 Routine ekg using at least 12 leads including interpretation and report	31	31	$22.06	$13.68
82728 Ferritin (blood protein) level	30	26	$27.87	$18.33
J1040 Injection, methylprednisolone acetate, 80 mg	27	16	$10.15	$10.02
90670 Pneumococcal vaccine for injection into muscle	26	26	$175.85	$172.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$187.89	$133.90
82607 Cyanocobalamin (vitamin B-12) level	23	20	$25.42	$20.27
82270 Stool analysis for blood to screen for colon tumors	14	14	$8.25	$4.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes	13	13	$20.00	$14.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$83.20	$81.54
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$25.50	$23.56
G0008 Administration of influenza virus vaccine	12	12	$30.50	$23.92
G0444 Annual depression screening, 5 to 15 minutes	11	11	$20.01	$14.50
84550 Uric acid level, blood	11	11	$8.60	$4.24

Medical Specialties & State Licenses

CMS Verified: 2024-11-21

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-04535

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1245667575 (NC)

Hospital & Practice Group Affiliations

Unc Physicians Network Llc

37 Pineville Blvd, Clayton, NC 275279355

Unc Physicians Network Llc

34 Healthpark Way, Clayton, NC 275204497

Phone: 9195858850

North Carolina Mg Llc

6602 Knightdale Blvd, Knightdale, NC 275456526

Unc Physicians Network Llc

940 Martin Luther King Jr Blvd, Chapel Hill, NC 275142601

Phone: 9199425123

North Carolina Mg Llc

3050 Duraleigh Rd, Raleigh, NC 276125451

Unc Physicians Network Llc

51 Mosaic Blvd, Pittsboro, NC 273124945

North Carolina Mg Llc

11200 Governor Manly Way, Raleigh, NC 276147360

North Carolina Mg Llc

1617 N Main St, Fuquay Varina, NC 275269021

North Carolina Mg Llc

1165 Us Hwy 70 W, Garner, NC 275292547

Phone: 9849601400

North Carolina Mg Llc

1104 Market Ctr Dr, Morrisville, NC 275607504

Phone: 9849601200

North Carolina Mg Llc

1059 Beaver Creek Commons Dr, Apex, NC 275023918

Phone: 9849601300

North Carolina Mg Llc

4420 Lake Boone Trl, Raleigh, NC 276077505

North Carolina Mg Llc

781 Avent Ferry Rd, Holly Springs, NC 275407776

Secondary Practice Locations

2417 Atrium Dr Ste 150

Raleigh, NC 276076673

Phone: 9197912040

3050 Duraleigh Rd Ste 111

Raleigh, NC 276125451

Phone: 9842156990

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Shilpa Bhardwaj , MD

Internal Medicine

NPI 1013247493

Doctor of Medicine (M.D.)

Laura Williams , PA

Physician Assistant

NPI 1073624508

Physician Assistant

Craig Jerome , FNP

Nurse Practitioner - Family

NPI 1104100171

Family Nurse Practitioner

Sarah Smith , PA-C

Physician Assistant

NPI 1144694803

Physician Assistant (Certified)

Deborah Rasmus

Family Medicine

NPI 1174143804

Ashley Brinn , NP

Nurse Practitioner - Family

NPI 1184967051

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 09, 2021

Registered at 6715 MCCRIMMON PKWY STE 300, CARY, NC 275191916 (Tel: 9194814997)

📍

Updated Business Mailing Address August 09, 2021

Registered at 2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 275608442

✅

NPI Profile Active April 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2014

Registered at 1041 NOELL LN, SUITE 105, ROCKY MOUNT, NC 278042058 (Tel: 2524512700)

📍

Updated Business Mailing Address April 25, 2014

Registered at PO BOX 7867, ROCKY MOUNT, NC 278040867 (Tel: 2524512700)

👤

Provider Name / Credentials Updated April 25, 2014

Recorded as MICHAEL PRAFKA, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2014

Physician Assistant (License #0010-04535 in NC)

🟢

Initial NPI Registration & Enumeration October 01, 2013

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: 1245667575

Entity Type:

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

Enumeration Date: October 01, 2013

Last Update: November 21, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Perimeter Park Dr Ste 200

Morrisville, NC 275608442

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.