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Active NPI 1831146851 Individual Practitioner Male Practitioner

Dr. Wallace Roy Pratt , MD

Allergy & Immunology • Shawnee, OK

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Pratt, MD is a registered healthcare professional specializing in Allergy & Immunology in Shawnee, OK. Practice services are available at 3315 KETHLEY RD under active NPI credentials.

Frequently performed procedures and clinical services include test for allergy using allergenic extract, professional service for preparation and provision of, injection of allergenic extracts into skin for immediate reaction analysis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3315 Kethley Rd

Shawnee, OK 748049638

Telephone 4052735801
Fax 4058783794
Associated Practice Facility / Clinic
🏢 Saints Medical Group, Llc Facility NPI 1881648285

Specialty Benchmarks & Practice Insights

Comparative analytics for Allergy & Immunology in Shawnee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Shawnee, OK (23 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.0% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
95004 Test for allergy using allergenic extract
2,032 20 $13.00 $5.96
95165 Professional service for preparation and provision of 1 or more antigens
800 20 $11.57 $3.06
95024 Injection of allergenic extracts into skin for immediate reaction analysis
178 19 $6.81 $0.98
99213 Established patient office or other outpatient visit, typically 15 minutes
47 33 $76.03 $49.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
36 36 $138.43 $71.39

Medical Specialties & State Licenses

Allergy & Immunology Primary Specialty

NUCC Taxonomy Code: 207K00000X

State License OK 18812

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100206950A (OK)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jeremy Holter , MD

Internal Medicine

NPI 1003859778

Doctor of Medicine (M.D.)

Cary Nation , PA-C

Physician Assistant

NPI 1043257165

Physician Assistant (Certified)

Laynie Shebester , PA-C

Physician Assistant

NPI 1053358275

Physician Assistant (Certified)

NPI 1083656243

Doctor of Medicine (M.D.)

Dr. Michael Butcher , MD

Internal Medicine

NPI 1134168610

Doctor of Medicine (M.D.)

Dr. Kelli Koons , MD

Internal Medicine

NPI 1134169295

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 November 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2016

Registered at 3315 KETHLEY RD, SHAWNEE, OK 748049638 (Tel: 4052735801)

📍
Updated Business Mailing Address November 11, 2016

Registered at PO BOX 258884, OKLAHOMA CITY, OK 731258884 (Tel: 4052313857)

👤
Provider Name / Credentials Updated November 11, 2016

Recorded as WALLACE PRATT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2016

Allergy & Immunology (License #18812 in OK)

🟢
Initial NPI Registration & Enumeration May 27, 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: 1831146851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2006
Last Update: November 11, 2016
Sole Proprietor: No

Mailing Address

Po Box 258884

Oklahoma City, OK 731258884

Phone: 4052313857

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.