What is Charlene Prather's specialty?

Charlene Prather (NPI 1043228927) is a Medicare-billing provider whose primary specialty is Gastroenterology in Saint Louis, MO.

Where does Charlene Prather practice?

Charlene Prather practices in Saint Louis, MO, based on the location reported in the CMS Medicare provider datasets for NPI 1043228927.

How much does Medicare pay Charlene Prather?

Charlene Prather (NPI 1043228927) received approximately $41K in total Medicare Part B payments, serving 286 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1043228927

Charlene PratherMD

GastroenterologySaint Louis, MOI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

336

Unique beneficiaries

—

Total services

363

Distinct HCPCS

Medicare payment

$36K

Peer benchmark

Total Medicare services vs. 294 Gastroenterology providers in MO — below median (cohort median 585).

PRESCRIBING · PART D · 2024

Total Rx claims

624

Beneficiaries

—

Total drug cost

$92K

Distinct drugs

Brand share

45.5%

Top prescribed drugs

Peg3350/Sod Sulf,bicarb,cl/Kcl83 claims

Pantoprazole Sodium75 claims

Omeprazole50 claims

Prucalopride Succinate47 claims

Linaclotide36 claims

QUALITY · MIPS · 2024

Final MIPS score

84.2

Quality

71.6

Cost

75.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.39%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Hospital

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Charlene Prather's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 13 inbound referrers · 43 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Peter Holtz Diagnostic Radiology · Chesterfield, MO	28	93
GARRETT, ROBERT	24	120
Debbie Bennett Diagnostic Radiology · Saint Louis, MO	22	75
Kelby Napier Diagnostic Radiology · Saint Louis, MO	22	65
MEHDIRAD, ALI	21	73
Christine Hachem Gastroenterology · Sandy, UT	18	82
Scott Ferreira Clinical Cardiac Electrophysiology · Springfield, MO	17	49
Jennifer Palagiri Gastroenterology · Troy, MO	16	114
Nadeem Parkar Diagnostic Radiology · Saint Louis, MO	16	55
MERCY HOSPITALS EAST COMMUNITIES	15	36
BURTON, MARY	14	74
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Maryland Heights, MO	13	23

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SLH VISTA, INC.	226	926
SSM HEALTH CARE ST. LOUIS	112	439
Cary Stolar Diagnostic Radiology · Saint Louis, MO	36	172
Christine Hachem Gastroenterology · Sandy, UT	34	93
Ece Akduman Diagnostic Radiology · Saint Louis, MO	33	163
Jinping Lai Pathology · West Hollywood, CA	33	73
GARRETT, ROBERT	31	109
Labone Llc Clinical Laboratory · Lenexa, KS	31	107
Peter Holtz Diagnostic Radiology · Chesterfield, MO	30	96
Stephen Huebner Diagnostic Radiology · St. Louis, MO	27	64
Priti Lele Anesthesiology · Saint Louis, MO	26	57
Jennifer Palagiri Gastroenterology · Troy, MO	25	80

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events