MANOLIS ALEXANDER PRATSINIS
NPI 1992474530
Urology in Sacramento, CA
NPI Status: Active since September 08, 2021
Contact Information
4860 Y ST STE 3500
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-0527
Fax: (916) 734-8094
- Individual
- Male
- Urology
- PECOS Enrolled
About MANOLIS PRATSINIS
This page provides the complete NPI Profile along with additional information for Manolis Pratsinis, a provider established in Sacramento, California with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1992474530 assigned on September 2021. The practitioner's primary taxonomy code is 208800000X with license number 683 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1992474530
- Provider Name
- MANOLIS ALEXANDER PRATSINIS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4860 Y ST STE 3500 SACRAMENTO, CA 95817
- Location Phone
- (916) 734-0527
- Location Fax
- (916) 734-8094
- Mailing Address
- 4860 Y ST STE 3500 SACRAMENTO, CA 95817
- Mailing Phone
- (916) 734-0527
- Mailing Fax
- (916) 734-8094
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-08-2021
- Last Update Date
- 09-08-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 683
- License State
- CA
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Medicare Participation & PECOS Enrollment Status
Manolis Pratsinis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF010N)
Skin barrier, wipes or swabs, each (HCPCS:A5120)
2 DME suppliers used 11 Medicare Claims 325 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 56 times for 24 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95817 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $137.2
- Minimum New Patient Price $60.44
- Maximum New Patient Price $180.85
- Average New Patient Copayment $34.3
- Minimum New Patient Copayment $15.11
- Maximum New Patient Copayment $45.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.03
- Minimum Established Patient Price $19.88
- Maximum Established Patient Price $148.15
- Average Established Patient Copayment $18.75
- Minimum Established Patient Copayment $4.97
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MANOLIS ALEXANDER PRATSINIS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 9 | 2 | 4 | 7 | 4 | 5 | 3 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 18 | 2 | 8 | 7 | 8 | 5 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 8 + 2 + 8 + 7 + 8 + 5 + 6 + 24 = 80 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1992474530 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1427375245 | DR. RAUL I CLAVIJO M.D. Individual | Urology | 4860 Y ST STE 3500 SACRAMENTO, CA 95817 (916) 734-2222 |
1407434392 | ALEXEI KOPELEVICH Individual | Student in an Organized Health Care Education/Training Program | 4860 Y ST STE 3500 SACRAMENTO, CA 95817 (916) 734-2823 |
1053990945 | ROBERT SHAHINYAN Individual | Student in an Organized Health Care Education/Training Program | 4860 Y ST STE 3500 SACRAMENTO, CA 95817 (916) 734-2893 |
1104479047 | DR. JONATHAN MOORE MD Individual | Urology | 4860 Y ST STE 3500 SACRAMENTO, CA 95817 (916) 734-4561 |
1528711694 | HAN HEE DANIEL KIM Individual | Student in an Organized Health Care Education/Training Program | 4860 Y ST STE 3500 SACRAMENTO, CA 95817 (916) 734-2893 |
1295411882 | LESLIE DIANA BERNAL CHARONDO MD Individual | Student in an Organized Health Care Education/Training Program | 4860 Y ST STE 3500 SACRAMENTO, CA 95817 (916) 734-2893 |
1194168369 | MRS. KAITLAN DENISE COBB M.D. Individual | Urology | 4860 Y ST STE 3500 SACRAMENTO, CA 95817 (916) 734-2893 |
1073373833 | JOHN HOVANNES TOROSYAN MD Individual | Student in an Organized Health Care Education/Training Program | 4860 Y ST STE 3500 SACRAMENTO, CA 95817 (916) 734-2222 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992474530, enumerated in the NPI registry as an "individual" on September 08, 2021
The provider is located at 4860 Y St Ste 3500 Sacramento, Ca 95817 and the phone number is (916) 734-0527
The provider's speciality is Urology with taxonomy code 208800000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $137.2 with an average copayment of $34.3 for new patient appointments. Established patients should expect a typical charge of $75.03 and an average copayment of 18.75. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes.
This NPI record was last updated on September 08, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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