Active NPI 1982955886 Individual Practitioner Male Practitioner

Dr. Michael Canaan Prater , DO

Orthopaedic Surgery • Gastonia, NC

Professional Overview & Biography Verified Profile Summary

Dr. Michael Prater, DO is a certified Orthopaedic Surgery practicing in Gastonia, NC. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Prater delivers high-quality medical care to the local community at 870 SUMMIT CROSSING PL.

Dr. Prater maintains professional affiliations with Orthocarolina, Comprehab, Inc, Select Physical Therapy Holdings Inc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit, x-ray of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

870 Summit Crossing Pl

Gastonia, NC 280542192

Telephone 7048672333

Associated Practice Facility / Clinic

🏢 Orthocarolina, Pa Facility NPI 1790702686

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Gastonia, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -10.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

14 Specialists

Practicing in Gastonia, NC (1019 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prater (17 Years) 17 Yrs

Gastonia Specialty Average (27.0 Years) 27.0 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
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	306	67	$11.00	$6.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	166	$237.00	$123.07
73564 X-ray of knee, 4 or more views	122	93	$102.00	$44.60
73562 X-ray of knee, 3 views	96	80	$90.00	$37.56
73502 X-ray of hip, 2-3 views	79	68	$83.35	$44.62
20610 Aspiration and/or injection of fluid from large joint	72	67	$204.78	$63.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$390.00	$160.39
27447 Replacement of knee joint, both sides of knee	60	55	$5038.00	$1220.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	53	$344.00	$171.71
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$151.00	$87.52
72100 X-ray of lower and sacral spine, 2-3 views	35	35	$106.00	$37.91
73030 X-ray of shoulder, minimum of 2 views	22	21	$90.00	$33.02
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$4693.00	$1181.77
20985 Computer-assisted surgery for muscle and bone procedure	16	16	$489.00	$136.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$452.00	$167.49
0054T Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation	12	12	$343.00	$132.11
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	11	$41.00	$14.25
73721 Mri scan of leg joint without contrast	12	12	$1199.00	$135.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	288	57	$11.14	$6.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	160	$237.00	$120.86
73502 X-ray of hip, 2-3 views	94	76	$82.37	$43.72
73564 X-ray of knee, 4 or more views	81	60	$103.26	$43.26
73562 X-ray of knee, 3 views	79	62	$90.00	$38.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$390.00	$160.48
20610 Aspiration and/or injection of fluid from large joint	66	59	$226.33	$67.13
72100 X-ray of lower and sacral spine, 2-3 views	48	48	$106.00	$38.20
99213 Established patient office or other outpatient visit, typically 15 minutes	46	40	$151.00	$86.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	40	$344.00	$172.86
27447 Replacement of knee joint, both sides of knee	40	35	$4609.31	$1200.42
73030 X-ray of shoulder, minimum of 2 views	26	23	$90.00	$33.07
27130 Replacement of thigh bone and hip joint with prosthesis	22	22	$4165.45	$1232.58
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	19	15	$41.00	$14.33
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	14	14	$343.00	$142.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$452.00	$168.56
20985 Computer-assisted surgery for muscle and bone procedure	14	14	$436.86	$132.70
0054T Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation	11	11	$343.00	$135.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	768	11	$25.00	$10.18
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	581	106	$11.00	$6.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	206	$237.00	$123.52
20610 Aspiration and/or injection of fluid from large joint	126	104	$240.19	$70.47
73564 X-ray of knee, 4 or more views	124	89	$102.00	$44.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$390.00	$162.31
73502 X-ray of hip, 2-3 views	100	79	$79.92	$42.80
99213 Established patient office or other outpatient visit, typically 15 minutes	76	67	$151.00	$88.18
72100 X-ray of lower and sacral spine, 2-3 views	68	68	$106.00	$38.84
73562 X-ray of knee, 3 views	55	46	$90.00	$39.26
73030 X-ray of shoulder, minimum of 2 views	42	30	$90.00	$33.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	40	$344.00	$170.09
27447 Replacement of knee joint, both sides of knee	25	25	$4162.00	$1225.13
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	21	19	$41.00	$15.06
77077 X-ray of joints, multiple	21	21	$141.00	$42.70
73552 X-ray of thigh bone, minimum 2 views	20	11	$55.00	$27.89
27130 Replacement of thigh bone and hip joint with prosthesis	19	18	$3864.00	$1218.45
73522 X-ray of both hips, 3-4 views	11	11	$94.00	$52.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	338	90	$11.00	$7.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	125	$237.00	$125.18
99213 Established patient office or other outpatient visit, typically 15 minutes	146	112	$151.00	$88.69
20610 Aspiration and/or injection of fluid from large joint	106	91	$221.38	$65.61
73564 X-ray of knee, 4 or more views	95	67	$102.00	$41.85
73502 X-ray of hip, 2-3 views	80	64	$97.95	$42.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$390.00	$159.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	54	$109.00	$54.35
72100 X-ray of lower and sacral spine, 2-3 views	52	50	$106.00	$37.89
73562 X-ray of knee, 3 views	39	31	$90.00	$38.38
73030 X-ray of shoulder, minimum of 2 views	35	27	$90.00	$32.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$275.00	$109.01
27447 Replacement of knee joint, both sides of knee	22	19	$4162.00	$1260.10
73552 X-ray of thigh bone, minimum 2 views	20	11	$80.80	$33.47
73610 X-ray of ankle, minimum of 3 views	19	12	$83.00	$30.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$324.00	$132.04
27130 Replacement of thigh bone and hip joint with prosthesis	15	13	$3864.00	$1261.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	229	76	$11.00	$7.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	110	$237.00	$104.83
20610 Aspiration and/or injection of fluid from large joint	96	74	$238.23	$67.30
99213 Established patient office or other outpatient visit, typically 15 minutes	93	81	$151.00	$72.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$390.00	$159.26
73564 X-ray of knee, 4 or more views	66	53	$102.00	$41.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	48	$109.00	$43.75
73562 X-ray of knee, 3 views	40	34	$90.00	$37.06
72100 X-ray of lower and sacral spine, 2-3 views	33	33	$106.00	$36.23
73502 X-ray of hip, 2-3 views	29	26	$114.10	$41.91
73110 X-ray of wrist, minimum of 3 views	22	11	$83.00	$36.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$324.00	$135.16
73522 X-ray of both hips, 3-4 views	20	20	$139.00	$49.28
73030 X-ray of shoulder, minimum of 2 views	19	17	$90.00	$31.38
73610 X-ray of ankle, minimum of 3 views	18	12	$83.00	$33.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$275.00	$104.34
27447 Replacement of knee joint, both sides of knee	12	12	$4162.00	$1337.64
73565 X-ray of both knees while standing	12	12	$80.00	$36.47

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	86	73	$237.00	$103.47
73562 X-ray of knee, 3 views	64	48	$90.00	$34.94
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	49	21	$11.00	$6.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	46	19	$8.00	$1.55
73565 X-ray of both knees while standing	45	45	$80.00	$34.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$390.00	$157.05
20610 Aspiration and/or injection of fluid from large joint	43	39	$238.88	$64.06
27130 Replacement of thigh bone and hip joint with prosthesis	39	39	$907.49	$207.15
27447 Replacement of knee joint, both sides of knee	37	37	$1294.51	$326.35
73522 X-ray of both hips, 3-4 views	29	26	$132.52	$44.78
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$150.61	$70.78
73030 X-ray of shoulder, minimum of 2 views	11	11	$90.00	$28.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$896.00	$204.61
27447 Replacement of knee joint, both sides of knee	27	27	$932.80	$204.43

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NC 2019-00336

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

7482 Waterside Crossing Blvd, Denver, NC 280373006

Phone: 7048270598

Orthocarolina

870 Summit Crossing Pl, Gastonia, NC 280542192

Phone: 7048672333

Select Physical Therapy Holdings Inc

7482 Waterside Crossing Blvd, Denver, NC 280373006

Phone: 7048270598

Comprehab, Inc

2675 Court Dr, Gastonia, NC 280541478

Phone: 7048247800

Comprehab, Inc

2675 Court Dr, Gastonia, NC 280541478

Practice Associates & Co-Workers

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

9 Associated Practitioners

Phillip Hefner

Physical Therapy Assistant

NPI 1003184110

Timothy Boyd , PA-C

Physician Assistant

NPI 1033109194