Active NPI 1578504155 Individual Practitioner Female Practitioner

Dr. Debra A Pratt , MD

Surgery • Cleveland, OH

Professional Overview & Biography Verified Profile Summary

Dr. Debra Pratt, MD is a registered healthcare professional specializing in Surgery in Cleveland, OH. Practice services are available at 18200 LORAIN AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, partial removal of breast, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18200 Lorain Ave

Cleveland, OH 441115605

Telephone 2162522235

Fax 2162526658

Associated Practice Facility / Clinic

🏢 Cleveland Clinic Foundation Fairview Hospital Facility NPI 1265539563

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cleveland, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

233 Specialists

Practicing in Cleveland, OH (1313 Statewide)

Telehealth Adoption Rate

24.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	47	40	$624.00	$91.02
19301 Partial removal of breast	19	17	$3465.26	$637.96
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$423.00	$62.67

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	41	35	$419.00	$94.07
19301 Partial removal of breast	22	19	$3677.00	$629.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$634.50	$128.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$591.00	$137.93
19125 Removal of breast growth, open procedure	11	11	$2429.00	$449.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$252.32	$64.33
38900 Lymph node imaging during surgery	22	21	$825.00	$134.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$537.00	$142.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$381.00	$95.87
19301 Partial removal of breast	20	19	$3343.00	$653.71
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$2345.37	$224.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$576.67	$127.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$339.00	$82.10
19125 Removal of breast growth, open procedure	11	11	$2208.00	$420.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	68	$240.00	$66.70
38900 Lymph node imaging during surgery	20	20	$825.00	$140.34
19301 Partial removal of breast	19	18	$3343.00	$666.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$370.00	$98.46
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$2122.00	$233.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$521.00	$144.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$716.00	$183.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	76	$232.74	$50.72
38900 Lymph node imaging during surgery	43	42	$825.00	$143.22
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	37	37	$2179.35	$225.47
19301 Partial removal of breast	36	34	$3435.86	$673.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$716.00	$168.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	27	$359.00	$78.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	20	$505.40	$110.71
19125 Removal of breast growth, open procedure	14	14	$2208.00	$449.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$548.00	$128.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	97	$226.00	$50.24
38900 Lymph node imaging during surgery	32	32	$876.56	$145.72
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	31	31	$2258.90	$227.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	26	$491.00	$107.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$716.00	$167.05
19301 Partial removal of breast	29	27	$3343.00	$625.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$362.74	$77.33
19125 Removal of breast growth, open procedure	15	15	$2208.00	$426.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$548.00	$121.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	111	$219.00	$50.26
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	38	38	$2122.00	$228.28
38900 Lymph node imaging during surgery	35	35	$848.57	$140.76
19301 Partial removal of breast	33	30	$3444.30	$627.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$716.00	$165.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$477.00	$108.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$548.00	$126.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$339.00	$76.92
19303 Total removal of breast	13	13	$5633.38	$989.23
76642 Limited ultrasound scan of 1 breast	11	11	$224.00	$33.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	94	$219.00	$49.49
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$218.88	$64.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	32	$339.00	$76.62
19301 Partial removal of breast	28	25	$3341.46	$644.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$477.00	$108.34
38900 Lymph node imaging during surgery	23	23	$860.87	$141.97
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$2226.80	$221.48
76642 Limited ultrasound scan of 1 breast	19	13	$224.00	$33.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$548.00	$126.66

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35066485

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0975744 (OH)

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Sparsha Saralaya , MD

Internal Medicine

NPI 1043483399

Doctor of Medicine (M.D.)

Dr. Sandra Snyder , DO

Family Medicine

NPI 1093815383

Doctor of Osteopathic Medicine (D.O.)

Dr. Norman Perala , MD

Family Medicine

NPI 1093989345

Doctor of Medicine (M.D.)

Carol Travis , CNP

Registered Nurse - Women's Health Care, Ambulatory

NPI 1144277781

Certified Nurse Practitioner

Dr. Timothy Spiro , MD

Internal Medicine - Hematology & Oncology

NPI 1144277898

Doctor of Medicine (M.D.)

Bridget Griffin , FNP

Nurse Practitioner - Family

NPI 1205277795

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 12, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2007

Registered at 18200 LORAIN AVE, CLEVELAND, OH 441115605 (Tel: 2162522235)

📍

Updated Business Mailing Address July 12, 2007

Registered at 18200 LORAIN AVE, CLEVELAND, OH 441115605 (Tel: 2162522235)

👤

Provider Name / Credentials Updated July 12, 2007

Recorded as DEBRA PRATT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2007

Surgery (License #35066485 in OH)

🟢

Initial NPI Registration & Enumeration June 08, 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: 1578504155

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: July 12, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

18200 Lorain Ave

Cleveland, OH 441115605

Phone: 2162522235

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.