THEODORE C PRATT (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1013954080

THEODORE C PRATT (MD) is a healthcare provider. based in La jolla, California. specializing in THORACIC SURGERY. They hold the professional credentials MD. They hold a License No. 19436 (NV). The NPI Number for THEODORE C PRATT (MD) is 1013954080

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE C PRATT (MD)
NPI
1013954080
Phone
(619) 532-9140
Address
9434 MEDICAL CENTER DR FL 1
Enumeration Date
31 May 2006
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7753564888
Graduation Year
1997 (29 years ago)
PAC ID
7911056023
Group Practice PAC ID
7214093020
Professional Enrollment ID
I20220318002325
Address ID
NV894349688SP2385XWAYX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

488 THORACIC SURGERY in CA

Provider Addresses for THEODORE C PRATT (MD)

  • 9434 MEDICAL CENTER DR FL 1

    LA JOLLA, CA 920371337

    Phone: (619) 532-9140

    Type: Location

  • 1021 STEAMBOAT PKWY STE 120

    RENO, NV 895216432

    Phone: (775) 525-9151

    Fax: (775) 683-6785

    Type: Location

  • 11020, Matinal Circle, San Diego, San Diego County, California, 92127, United States

    SAN DIEGO, CA 921271260

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $4,030.

Total Amount is formed as General ($4,030) + Research ($0) + Ownership ($0) = $4,030.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ATRICURE, INC. ($2,946).

Total Amount

$4,030

General + Research + Ownership

Payments

50

Total payment records

General Amount

$4,030

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220318002325IThoracic SurgeryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33361Replacement of aortic valve through the skin and femoral artery1111$0
33533Coronary artery bypass using artery graft, 1 graft1111$0
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 92037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214093020View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)NV
Hospitalist, Family Practice, Family PracticeNV
Nurse PractitionerNV
Internal MedicineCA
Internal Medicine, HospitalistOR
Hospitalist, Internal MedicineNV
Family PracticePA
Hospitalist, Internal MedicineOH
Nurse PractitionerNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

How do payers reference THEODORE C PRATT (MD)?
For THEODORE C PRATT (MD), use NPI 1013954080 as the unique 10-digit identifier.
Is THEODORE C PRATT (MD) still an active registrant?
THEODORE C PRATT (MD) carries an active NPI according to the public dataset.
What expertise is attributed to THEODORE C PRATT (MD)?
THEODORE C PRATT (MD)'s specialty line reads Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for THEODORE C PRATT (MD)?
Travel planning: use La Jolla, California as the reference point for THEODORE C PRATT (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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