John D Prata , PA-C
Physician Assistant • Bellevue, WA
10116 Ne 8th St
Bellevue, WA 980044148
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 23, 2006; this date does not establish years in practice.
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Published CMS data list 25 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 99213 — Established patient outpatient office visit: 14 service units.
- 99203 — New patient outpatient office visit: 11 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 26 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Paxlovid (Nirmatrelvir/Ritonavir) — 14 prescription fills, including refills.
- Cefuroxime (Cefuroxime Axetil) — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Bellevue, WA (2024, 57 clinicians with data). Median for this group: 94. Middle half: 43 to 232.
Fewer Part D prescriptions than 85% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 23 in 2017 to 25 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
10116 Ne 8th St
Bellevue, WA 980044148
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Wheeler, OR. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Kaiser Foundation Health Plan Of Washington. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2006
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $2,055 in 2019
The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.
Paid by Medicare
About $1,309 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.
30-day fills
26 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$115 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
20 years (graduated 2006)
CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
John Prata has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists John Prata as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Bellevue and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Bellevue, WA (2024, 57 clinicians with data). Median for this group: 94. Middle half: 43 to 232.
Fewer Part D prescriptions than 85% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.
Part D drug cost
A lower Part D drug cost than 90% of clinicians listed under Physician Assistant in Bellevue, WA (2024, 57 clinicians with data). Median for this group: $1,438. Middle half: $370 to $19,760.
A lower Part D drug cost than 90% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for John Prata are from 2019.
83 active clinicians are listed under Physician Assistant with a practice address in Bellevue, WA (3,718 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Bellevue
19.3% of these 83 clinicians have the CMS telehealth indicator.
67.5% of these 83 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 23 in 2017 and 25 in 2019.
- 2017: 23
- 2018: 41
- 2019: 25
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $2,214 in 2017 and $2,055 in 2019.
- 2017: $2,214
- 2018: $2,699
- 2019: $2,055
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Paid by Medicare
Paid by Medicare decreased 18% from $1,603 in 2017 to $1,309 in 2019.
- 2017: $1,603
- 2018: $1,566
- 2019: $1,309
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 83% from 149 in 2016 to 26 in 2024.
- 2016: 149
- 2017: 36
- 2018: 11
- 2023: 12
- 2024: 26
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30-day fills
30-day fills decreased 91% from 303 in 2016 to 26 in 2024.
- 2016: 303
- 2017: 38
- 2018: 11
- 2023: 12
- 2024: 26
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Part D drug cost
Part D drug cost decreased 94% from $2,078 in 2016 to $115 in 2024.
- 2016: $2,078
- 2017: $282
- 2018: $298
- 2023: $103
- 2024: $115
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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14 | 14 | $125.00 | $68.35 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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11 | 11 | $125.00 | $99.85 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Paxlovid | Nirmatrelvir/Ritonavir | 14 | 70 | $0.00 | 14 |
| Cefuroxime | Cefuroxime Axetil | 12 | 60 | $114.68 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-05-04NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20121207000151
WA
5395745814
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Kaiser Foundation Health Plan Of Washington
15809 Bear Creek Pkwy, Redmond, WA 980521542
Phone: 4258826100
Kaiser Foundation Health Plan Of Washington
200 15th Ave E, Seattle, WA 981125260
Phone: 2063263000
Kaiser Foundation Health Plan Of Washington
275 Bronson Way Ne, Renton, WA 980564030
Phone: 4252352800
Kaiser Foundation Health Plan Of Washington
2715 Naches Ave Sw, Renton, WA 980572627
Kaiser Foundation Health Plan Of Washington
9505 S Steele St, Tacoma, WA 984441858
Phone: 2535976800
Secondary Practice Locations
230 Rowe Street, The Rinehart Clinic
Wheeler, OR 97147
Phone: 5033685182
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Pharmacist
Registered Pharmacist
Pharmacist
Pharmacist
Pharmacist
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 10116 NE 8TH ST, BELLEVUE, WA 980044148 (Tel: 4254540305)
Registered at 10116 NE 8TH ST, BELLEVUE, WA 980044148 (Tel: 4254540305)
NPI status registered as active in NPPES database
Registered at 320 WESTLAKE AVE N, SUITE 100, SEATTLE, WA 981095233 (Tel: 2064486561)
Registered at 230 ROWE STREET, THE RINEHART CLINIC, WHEELER, OR 97147 (Tel: 5033685182)
Recorded as JOHN PRATA, PA-C
Physician Assistant
NPI status registered as active in NPPES database
Registered at 230 ROWE STREET, THE RINEHART CLINIC, WHEELER, OR 97147 (Tel: 5033685182)
Registered at 2247 A ST, APT. E 32, FOREST GROVE, OR 971161653 (Tel: 5033966896)
Recorded as JOHN PRATA, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Bellevue
- Marianne Wahba, PA-C
- Nicole Zalewski, PA
- Austin Petrich, PA
- Krista Van Dam, PA-C
- Ashley Schmaing, PA-C
- Marcel Budica, PA
Mailing Address
10116 Ne 8th St
Bellevue, WA 980044148
Phone: 4254540305