Active NPI 1821071879 Individual Practitioner Male Practitioner

Dr. Ignacio Prats , MD

Surgery • York, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ignacio Prats, MD is a certified Surgery practicing in York, PA. With approximately 42 years of clinical experience since graduating from Tulane University School Of Medicine in 1984, Dr. Prats delivers high-quality medical care to the local community at 1703 INNOVATION DR STE 3136.

Dr. Prats is affiliated with Pinnacle Health Medical Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1703 Innovation Dr Ste 3136

York, PA 174088815

Telephone 7177413449

Fax 7177415496

Associated Practice Facility / Clinic

🏢 Martin Podiatry Pc Facility NPI 1396927752

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in York, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +19.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

75 Specialists

Practicing in York, PA (1976 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prats (42 Years) 42 Yrs

York Specialty Average (22.8 Years) 22.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	71	56	$178.00	$86.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$251.00	$121.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$376.00	$156.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$466.00	$119.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$247.00	$102.76
49505 Repair of groin hernia (5 years or older)	14	13	$1246.00	$498.67
47562 Removal of gallbladder using an endoscope	11	11	$1507.00	$616.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	69	$178.00	$87.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$251.00	$122.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$376.00	$162.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$247.00	$108.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$466.00	$133.80
49505 Repair of groin hernia (5 years or older)	14	14	$1246.00	$481.34
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	13	13	$1095.00	$519.27
49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length	11	11	$653.00	$309.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	85	$170.83	$89.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	50	$239.61	$125.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$376.00	$158.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$247.00	$107.23
49505 Repair of groin hernia (5 years or older)	14	14	$1246.00	$521.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$166.43	$69.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	82	$169.00	$90.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$247.00	$110.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$376.00	$166.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$236.00	$128.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$168.00	$71.09
49505 Repair of groin hernia (5 years or older)	16	16	$1246.00	$526.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$113.00	$55.44
47562 Removal of gallbladder using an endoscope	11	11	$1411.10	$578.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	89	$169.00	$73.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	48	$236.00	$107.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$247.00	$106.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$376.00	$159.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$113.00	$44.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	19	$166.04	$72.86
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$225.00	$102.60
49505 Repair of groin hernia (5 years or older)	15	15	$1329.07	$555.50
47562 Removal of gallbladder using an endoscope	13	13	$1507.00	$645.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$466.00	$142.10
49654 Repair of incisional hernia using an endoscope	11	11	$1813.74	$743.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	136	$182.10	$72.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	67	$225.00	$106.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$279.13	$158.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$224.72	$105.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	16	$126.72	$72.41
49505 Repair of groin hernia (5 years or older)	19	19	$1631.47	$530.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$113.05	$43.90
47562 Removal of gallbladder using an endoscope	18	18	$2557.50	$641.26
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$694.60	$134.24
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$723.15	$126.02
49650 Repair of groin hernia using an endoscope	12	12	$2003.75	$509.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	171	109	$192.00	$70.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	96	$225.00	$101.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$254.00	$156.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	22	$119.00	$71.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	38	$307.00	$200.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	16	$177.00	$102.83
47562 Removal of gallbladder using an endoscope	30	30	$3226.00	$634.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$222.00	$105.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	17	$88.00	$38.73
49505 Repair of groin hernia (5 years or older)	22	22	$1829.55	$534.67
99238 Hospital discharge day management, 30 minutes or less	18	17	$250.00	$71.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$871.00	$132.74
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	$341.00	$202.15
49585 Repair of hernia at navel (5 years or older)	11	11	$1804.00	$446.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$248.00	$134.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	141	$178.75	$69.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$238.04	$154.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$206.57	$103.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	20	$112.95	$70.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	50	$209.96	$103.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	36	$288.72	$198.72
49505 Repair of groin hernia (5 years or older)	30	30	$1637.33	$515.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	18	$82.56	$38.53
99238 Hospital discharge day management, 30 minutes or less	17	16	$114.59	$70.79
47562 Removal of gallbladder using an endoscope	17	17	$3057.29	$658.47
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	13	13	$721.85	$42.26
49654 Repair of incisional hernia using an endoscope	12	12	$2552.00	$847.71
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1767.82	$340.94
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$528.82	$18.77

Medical Specialties & State Licenses

CMS Verified: 2021-04-14

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD053450L

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

01481515 (PA)

Hospital & Practice Group Affiliations

Pinnacle Health Medical Services

1703 Innovation Dr, York, PA 174088815

Pinnacle Health Medical Services

2501 N 3rd St Fl, Harrisburg, PA 171101904

Phone: 7177822100

Pinnacle Health Medical Services

2501 N 3rd St, Harrisburg, PA 171101904

Phone: 7177822100

Pinnacle Health Medical Services

2501 N 3rd St 2nd Fl Kline Hc, Harrisburg, PA 171101904

Phone: 7177822363

Pinnacle Health Medical Services

2501 N 3rd Street 2nd Floor, Harrisburg, PA 171101904

Phone: 7177822143

Pinnacle Health Medical Services

1701 Innovation Dr, York, PA 174088815

Phone: 7178438623

Secondary Practice Locations

25 Monument Rd Ste 145

York, PA 174035060

Phone: 7177413449

Practice Associates & Co-Workers

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

14 Associated Practitioners

Avery Simpson , PA-C

Physician Assistant

NPI 1104751452

Physician Assistant (Certified)

Kimberley Smith , CRNP

Nurse Practitioner - Family

NPI 1154943512

Certified Registered Nurse Practitioner

Dr. Kimberlee Mudge , MD

Surgery

NPI 1366425316

Doctor of Medicine (M.D.)

Gaokiab Lo , PA-C

Physician Assistant

NPI 1386391043

Physician Assistant (Certified)

Gregory Wolbrette , PA-C

Physician Assistant

NPI 1407626005

Physician Assistant (Certified)

Lydia Flinner , CRNP

Nurse Practitioner - Family

NPI 1417539859

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address April 14, 2021

Registered at 1703 INNOVATION DR STE 3136, YORK, PA 174088815

📍

Updated Practice Location January 29, 2021

Registered at 1703 INNOVATION DR STE 3136, YORK, PA 174088815 (Tel: 7177413449)

📍

Updated Business Mailing Address January 29, 2021

Registered at 409 S 2ND ST STE 2F, HARRISBURG, PA 171041612

✅

NPI Profile Active March 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 06, 2008

Registered at 25 MONUMENT RD, SUITE 260, YORK, PA 174035060 (Tel: 7177413449)

📍

Updated Business Mailing Address March 06, 2008

Registered at 25 MONUMENT RD, SUITE 260, YORK, PA 174035060 (Tel: 7177413449)

👤

Provider Name / Credentials Updated March 06, 2008

Recorded as IGNACIO PRATS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2008

Surgery (License #MD053450L in PA)

🟢

Initial NPI Registration & Enumeration November 23, 2005

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: 1821071879

Entity Type:

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

Enumeration Date: November 23, 2005

Last Update: April 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1703 Innovation Dr Ste 3136

York, PA 174088815

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.