THOMAS G PRATER (M.D.) – Ophthalmology Physician, NPI 1043289119
Ophthalmology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
444 OPHTHALMOLOGY in MO
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Provider Addresses for THOMAS G PRATER (M.D.)
1265, East Primrose Street, Springfield, Greene County, Missouri, 65804, United States
SPRINGFIELD, MO 658044278
Phone: (417) 886-3937
Fax: (417) 886-1285
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $20,206.
Total Amount is formed as General ($20,206) + Research ($0) + Ownership ($0) = $20,206.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($19,536).
Total Amount
$20,206
General + Research + Ownership
Payments
23
Total payment records
General Amount
$20,206
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $19,536 |
| Ocular Therapeutix, Inc. | $290 |
| Alcon Vision LLC | $214 |
| RxSight Inc | $96 |
| Oyster Point Pharma, 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: 2010-05-12
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 |
|---|---|---|---|---|
| I20100512000855 | I | Ophthalmology | MO | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 592 | 577 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 246 | 144 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 231 | 156 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 88 | $0 |
| 92004 | New patient complete exam of visual system | 77 | 77 | $0 |
Insurance plans in this area (ZIP 65804)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| - | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| O P T O M E T R Y | MO |
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