DR. PRABAKAR KUMAR RAO (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1417959115

DR. PRABAKAR KUMAR RAO (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 118703 (MO). The NPI Number for DR. PRABAKAR KUMAR RAO (MD) is 1417959115

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRABAKAR KUMAR RAO (MD)
NPI
1417959115
Phone
(314) 362-3937
Address
4901 FOREST PARK AVE
Enumeration Date
12 August 2005
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
3142730020
Graduation Year
1995 (31 years ago)
PAC ID
2264328368
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20070514000134
Address ID
MO631290002SA5201XPLZX423

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

444 OPHTHALMOLOGY in MO

Provider Addresses for DR. PRABAKAR KUMAR RAO (MD)

  • 4901 FOREST PARK AVE

    DEPT OPHTHALMOLOGY, 6TH FL

    SAINT LOUIS, MO 631081495

    Phone: (314) 362-3937

    Fax: (314) 362-3725

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8096

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-3431

    Fax: (314) 362-6564

    Type: Mailing

  • 517, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    SAINT LOUIS, MO 631101007

    Phone: (314) 362-3431

    Fax: (314) 362-6564

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-3937

    Fax: (314) 362-3725

    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: 2007-05-14

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
I20070514000134IOphthalmologyMOTBD

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
92134Imaging of retina701248$0
J0178Injection, aflibercept, 1 mg46454$0
99213Established patient office or other outpatient visit, 20-29 minutes327217$0
92012Established patient problem focused exam of visual system316207$0
67028Injection of drug into eye31192$0
View full utilization report →

Insurance plans in this area (ZIP 63108)

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Provider's Procedures

DR. PRABAKAR KUMAR RAO (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMO92134Diagnostic imaging of retina741242

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: 9830008770View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. PRABAKAR KUMAR RAO (MD)?
The federal identifier for DR. PRABAKAR KUMAR RAO (MD) is NPI 1417959115.
Is DR. PRABAKAR KUMAR RAO (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. PRABAKAR KUMAR RAO (MD)'s specialty in plain language?
Clinically, the directory lists DR. PRABAKAR KUMAR RAO (MD) with Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Does DR. PRABAKAR KUMAR RAO (MD) practice in Missouri?
You will see Saint Louis, Missouri on file for DR. PRABAKAR KUMAR RAO (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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