TIMOTHY JAMES PRATT (M.D.) – Internal Medicine Physician, NPI 1104872068

TIMOTHY JAMES PRATT (M.D.) is a healthcare provider. based in Fenton, Missouri. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. R9E55 (MO). The NPI Number for TIMOTHY JAMES PRATT (M.D.) is 1104872068

Main info

Male
Sole Proprietor
43 Years Of Experience
Name
TIMOTHY JAMES PRATT (M.D.)
NPI
1104872068
Phone
(314) 766-2066
Address
1011 BOWLES AVENUE
Enumeration Date
25 May 2006
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6364962000
Graduation Year
1983 (43 years ago)
PAC ID
6709789589
Professional Enrollment ID
I20100831000873
Address ID
MO630262394FE1015XAVEX300
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

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for TIMOTHY JAMES PRATT (M.D.)

  • 1011, Bowles Avenue, Fenton, Saint Louis County, Missouri, 63026, United States

    SUITE 121

    FENTON, MO 63026

    Phone: (314) 766-2066

    Fax: (636) 326-1802

    Type: Location

  • PO BOX 220375

    KIRKWOOD, MO 631220375

    Phone: (314) 766-2066

    Fax: (636) 326-1802

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-08-31

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
I20100831000873IInternal MedicineMOTBD

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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4747$0
99214Established patient office or other outpatient visit, 30-39 minutes4532$0
99213Established patient office or other outpatient visit, 20-29 minutes3621$0
99212Established patient office or other outpatient visit, 10-19 minutes2318$0
G0008Administration of influenza virus vaccine2020$0
View full utilization report →

Insurance plans in this area (ZIP 63026)

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Reviews

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Frequently asked questions

How is TIMOTHY JAMES PRATT (M.D.) identified in CMS data?
CMS-hosted NPPES data lists TIMOTHY JAMES PRATT (M.D.) with NPI 1104872068.
Can I rely on TIMOTHY JAMES PRATT (M.D.) being an active provider?
As of the registry snapshot, TIMOTHY JAMES PRATT (M.D.) is marked active.
What is TIMOTHY JAMES PRATT (M.D.) best known for clinically?
Directory data describes TIMOTHY JAMES PRATT (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for TIMOTHY JAMES PRATT (M.D.)?
TIMOTHY JAMES PRATT (M.D.)'s geographic hint is Fenton, Missouri in our summary view.
Is the information about TIMOTHY JAMES PRATT (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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