Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Pratt
    Ask Trek AI about this page

    David Pratt — Billing Profile & Reimbursement Data

    NPI 1730164963 · Tacoma, WA · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

    Customize your policy alerts

    Sign up for David Pratt — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    David Pratt is a plastic surgery within the head and neck (plastic surgery) physician provider located in Tacoma, Washington. This profile covers 20 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Pratt
    Address2202 S Cedar St
    CityTacoma
    StateWA
    ZIP98405
    TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
    NPI EnumeratedDecember 9, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$282.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…140$610$86.5K
    J0585Injection, onabotulinumtoxina, 1 unit6,500$10$32.5K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…50$520$28.2K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…270$80$20.9K
    68320The provider performs a surgical repair of the conjunctiva using the patient’s own conjunctival tissue as a graft or by rearranging the existing tissue. This procedure is done to treat a condition…50$370$19.8K
    67961The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.…70$210$14.2K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.70$150$11.3K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.20$440$10K
    68720The provider performs a dacryocystorhinostomy, or DCR, to correct dysfunction of the nasolacrimal duct and restore the flow of tears from the tear duct into the nose.10$650$9.1K
    15740The provider creates an island pedicle flap by incising the healthy skin and tissue around the donor site, elevating it, and placing it on an area of wound or injury. This flap is rich in blood…10$610$7.9K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058545906,700$1$55.7K
    1582354040$560$39.4K
    6790463030$600$30.6K
    1574041040$450$18.5K
    6832021030$520$16.7K
    6796121040$330$16.6K
    14060316020$540$16.2K
    14040294020$530$14.3K
    6790081020$430$14.2K
    6872031020$870$13.1K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with David Pratt, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jane MyungWAOphthalmology Physician$2.7M$0
    Penporn ReckWAOphthalmology Physician$802.6K$0
    The Aesthetic Surgery Centre, PLLCWAAmbulatory Surgical Clinic/Center$775.3K$0
    Grant AakerWAOphthalmology Physician$481.9K$0
    Stephen ReckWAOphthalmology Physician$433.1K$0
    Anthony GrilloWACornea and External Diseases Specialist Physician$348.5K$0
    Clifton Blake PerryWAOphthalmology Physician$262K$0
    Troy WoodmanWAPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician$152.4K$0
    Jennifer SnelsonWACertified Registered Nurse Anesthetist$27.3K$0
    Melissa BrookeWACertified Registered Nurse Anesthetist$24.5K$0

    Nearby Providers

    Other providers in the same ZIP code as David Pratt, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Multicare Health SystemWAGeneral Acute Care Hospital$0$162.2M
    Multicare Health SystemWAChildren's Hospital$0$108.4M
    Franciscan Medical GroupWAFamily Medicine Physician$0$92.6M
    Multicare Health SystemWAFamily Medicine Physician$0$75M
    Franciscan Health SystemWAGeneral Acute Care Hospital$0$44.6M
    Multicare Health SystemWAPediatrics Physician$0$29.4M
    Western Psychological And Counseling Services LLCWAClinical Psychologist$0$20.8M
    Sound Health Medical SupplyWACustomized Equipment (DME)$0$20.7M
    Tra-minw P SWARadiology Clinic/Center$0$14.5M
    Advanced Lifeline ServicesWASNF/Subacute Care Certified Respiratory Therapist$0$12.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    David Pratt — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington