Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fredric A Prater, DO

Individual provider Family Medicine Physician · NPI 1174597629

Dr. Fredric A Prater, DO is a Family Practice in Maryland Heights, Missouri. Qualified in 1985, 41 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
41
Licensed in
MO
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2024 Dorsett Vlg
Maryland Heights, MO 63043-2208
Phone: (314) 590-0550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9068 Overland Plz, Saint Louis, MO 63114-6122 — (314) 423-9000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4H94 (MO)

Record details

NPI number1174597629
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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