Praveen Datar, MD
NPI 1053734657 · Pulmonary Disease Physician · West Plains, MO
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Praveen Datar, MD is a Pulmonary Disease Physician provider in West Plains, MO (NPI 1053734657).
Provider details
- NPI number
- 1053734657
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2020004210 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
708 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 213 | $91 |
| Critical Care, First 30-74 Minutes99291 | 81 | $205 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 73 | $8 |
| Test to Determine Lung Volumes Using Sensors94726 | 65 | $11 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 58 | $10 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 38 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 343 | 71 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 341 | 126 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 204 | 46 |
| Montelukast Sodium | 151 | 48 |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 114 | 53 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 108 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$353 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1400 US Highway 61Festus, MO 63028-4100Phone: (636) 933-5411
- 1390 US Highway 61 Ste N2300Festus, MO 63028-4137Phone: (636) 543-2405
Registry dates
- Enumerated
- 2014-02-03
- Last updated
- 2024-07-26
- Certified
- 2024-07-26
Frequently asked questions
- What is Praveen Datar's NPI number?
- Praveen Datar's National Provider Identifier (NPI) is 1053734657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Praveen Datar's specialty?
- Praveen Datar is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Praveen Datar located?
- Praveen Datar's practice location on file with NPPES is 1100 N Kentucky Ave, West Plains, MO 65775-2029.
- What is Praveen Datar's phone number?
- The practice phone number listed in the NPPES registry for Praveen Datar is (417) 256-9111.
- Does Praveen Datar accept Medicare?
- Praveen Datar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Praveen Datar's NPI active?
- Yes — Praveen Datar's NPI (1053734657) is active in the NPPES registry as of the last update on 2024-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.