DR. PRASANTH PRABHAKARAN (MD) – Hospitalist Physician, NPI 1043458664
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,967 INTERNAL MEDICINE in PA
Provider Addresses for DR. PRASANTH PRABHAKARAN (MD)
12351 Perry Hwy
Wexford, PA 150908344
Phone: (412) 359-3030
Fax: (412) 359-3060
Type: Location
280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States
2ND FL
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
Baystate Medical Center, 759, Chestnut Street, North End, Springfield, Hampden County, Massachusetts, 01199, United States
SPRINGFIELD, MA 011071619
Phone: (413) 794-6297
Fax: (413) 794-1767
Type: Location
701 TECHNOLOGY DR STE 150
CANONSBURG, PA 153179531
Phone: (412) 531-2902
Fax: (412) 531-2948
Type: Mailing
2375 GREENTREE RD
CARNEGIE, PA 151064203
Phone: (412) 531-2902
Fax: (412) 531-2948
Type: Location
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: 2024-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220323000670 | I | Internal Medicine | PA | TBD |
| I20240715003602 | I | Internal Medicine | WV | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 225 | 113 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 118 | 49 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 102 | 91 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 62 | 58 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 50 | 47 | $0 |
Insurance plans in this area (ZIP 15090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| Family Practice, Geriatric Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Internal Medicine | PA |
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