Richard Prager, MD
NPI 1235127499 · Pulmonary Disease Physician · Pinecrest, FL
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Prager, MD is a Pulmonary Disease Physician provider in Pinecrest, FL (NPI 1235127499).
Provider details
- NPI number
- 1235127499
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME45897 (FL)
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,588 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 1,722 | $124 |
| Critical Care, First 30-74 Minutes99291 | 1,204 | $228 |
| Critical Care, Each Additional 30 Minutes99292 | 516 | $116 |
| Ultrasonic Guidance for Blood Vessel Access76937 | 396 | $15 |
| Insertion of Needle Into Vein (3 Years Or Older)36410 | 301 | $10 |
| Insertion of Non-Tunneled Central Venous Tube for Infusion (5 Years Or Older)36556 | 87 | $93 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 50 | 14 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 36 | 13 |
| Montelukast Sodium | 21 | — |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 15 | — |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,687 across 30 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
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2019-06-25
Frequently asked questions
- What is Richard Prager's NPI number?
- Richard Prager's National Provider Identifier (NPI) is 1235127499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Prager's specialty?
- Richard Prager is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Prager located?
- Richard Prager's practice location on file with NPPES is 8950 Sw 57th Ave, Pinecrest, FL 33156-2133.
- What is Richard Prager's phone number?
- The practice phone number listed in the NPPES registry for Richard Prager is (305) 322-4116.
- Does Richard Prager accept Medicare?
- Richard Prager is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Prager's NPI active?
- Yes — Richard Prager's NPI (1235127499) is active in the NPPES registry as of the last update on 2019-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.