KENNETH C PRATHER (MD) – General Practice Physician, NPI 1023086931
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
59 GENERAL PRACTICE in AR
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Provider Addresses for KENNETH C PRATHER (MD)
Kelly Service, 5220, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
ATTEN: JULIE KAYE
JACKSONVILLE, FL 322566017
Phone: (904) 446-3737
Fax: (904) 446-3013
Type: Mailing
Medical Center of South Arkansas, 700, West Grove Street, El Dorado, Union County, Arkansas, 71730, United States
EL DORADO, AR 717304416
Phone: (870) 863-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-05-16 • Largest payer in this snapshot: Smith+Nephew, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $24 |
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: 2008-03-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080305000140 | I | General Practice | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 350 | 59 | $0 |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 45 | 13 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 24 | 18 | $0 |
Insurance plans in this area (ZIP 32256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| - | AR | |
| General Surgery, Colorectal Surgery (Proctology), Critical Care (Intensivists), Peripheral Vascular Disease, Thoracic Surgery | AR | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | AR | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR |
Reviews
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