Individual provider Active NPI

Thomas G Prater, M.D.

  • Ophthalmology Physician
  • Springfield, MO
National Provider Identifier
1043289119
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R7E40 Issued in MO
Practice address
1265 E Primrose St
Springfield, MO 65804-4278
Phone
(417) 886-3937
Fax
(417) 886-1285
NPI assigned
Mar 14, 2006
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R7E40 MO Primary

Addresses

Primary practice location

1265 E Primrose St
Springfield, MO 65804-4278

Mailing address

1265 E Primrose St
Springfield, MO 65804-4278
Phone (417) 886-3937

Other identifiers 1

IdentifierTypeStateIssuer
202367827MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgp@mnp1999.integrityemrdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000855 MO Practitioner - Ophthalmology 1052416963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mattax Neu Prater Eye Center IncGroup PAC ID 6103713979, shared by 4 NPIs, 13 clinicians

Practice addresses (Care Compare)

1265 E Primrose St
Springfield, MO 65804-4278
Phone 41788639371166

168 S Payne Stewart Dr
Suite 200
Branson, MO 65616-2717
Phone (417) 348-1111

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
95
Improvement activities
40
Cost
77.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R7E40MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mattax Neu Prater Eye Center, Inc. Ophthalmology CurrentSince Apr 16, 1999 Accepting new patients
Mattax Neu Prater Eye Center, Inc. Ophthalmology CurrentSince Apr 16, 1999 Accepting new patients
Mattax Neu Prater Eye Center Inc CurrentSince Apr 16, 1999 Accepting new patients
Moore Family Eyecare, LLC PastSince Jun 24, 2010 Accepting new patients
Mattax Neu Prater Surgery Center, LLC PastSince Apr 19, 1999 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

168 S Payne Stewart Dr
Ste 200
Branson, MO 65616
Phone (417) 348-1111

430 N Jefferson Ave
Lebanon, MO 65536
Phone (417) 588-2400

1265 E Primrose St
Springfield, MO 65804
Phone (417) 886-3937

Networks

  • IA HMO C-SNP
  • IA HMO

Interoperability endpoints

  • Direct secure messaging: thomas.prater@cernerdirect.coxhealth.com
  • Direct secure messaging: tprater@mnpeyecenter.direct.eyemdemr.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1043289119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R7E40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202367827",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgp@mnp1999.integrityemrdirect.com",
            "affiliation": "N",
            "address_1": "1265 E Primrose St",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658044278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.