MAGGIE JANE PROKOVICH
NPI 1003657164
Dentist in Pittsburgh, PA

Q: What is Maggie Prokovich's NPI number?

The NPI number for Maggie Prokovich is 1003657164. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Q: What is Maggie Prokovich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Maggie Prokovich was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2024PECOS Enrolled

8620 DUNCAN AVE, PITTSBURGH, PA 15237(412) 367-2250 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2026, Jun 3, 2024 (2 updates tracked since 2024).

On this page

About Maggie Jane Prokovich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGGIE JANE PROKOVICH (NPI 1003657164) is an individual dentist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (DS044659) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cranberry Twp.

NPPES Registry Identity

NPI1003657164

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMAGGIE JANE PROKOVICH

Location Address8620 DUNCAN AVEPittsburgh, PA 15237-5884

Mailing Address930 Skyline DrEllwood City, PA 16117-1475 · (724) 944-0818

Phone(412) 367-2250

Sole ProprietorYes

Enumeration DateJune 3, 2024

Last NPPES UpdateApril 6, 20262 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1003657164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS044659

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

8620 DUNCAN AVE, Pittsburgh, PA 15237

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Secondary Practice Location 1

Location 120440 Route 19Cranberry Twp, PA 16066-7543 · Phone (724) 772-9688

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maggie Jane Prokovich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maggie Prokovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Health Network

53 mi

Federally Qualified Health Center (FQHC)

63 PITT ST
Sharon, PA 16146

Reassigned Medicare billing, Pennsylvania enrollment
164 clinicians in this Medicare group

NPI 1417932609 (724) 342-6604

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOFFRE JOSEPH MARTIN DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

8620 DUNCAN AVE
PITTSBURGH, PA 15237

Allegheny County (412) 837-2224

HANA MAHGIUB EL-ARABI DMD

Dentist (General Practice)

8620 DUNCAN AVE
PITTSBURGH, PA 15237

Allegheny County (412) 367-2250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maggie Prokovich's NPI number?

The NPI number for Maggie Prokovich is 1003657164. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Maggie Prokovich located?

Maggie Prokovich practices at 8620 Duncan Ave, Pittsburgh, PA 15237. The listed phone number is (412) 367-2250.

What is Maggie Prokovich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Maggie Prokovich enrolled in Medicare?

Yes. Maggie Prokovich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maggie Prokovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maggie Prokovich reassigns Medicare benefits to Primary Health Network (Sharon, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maggie Prokovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maggie Prokovich accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 14 other insurers list Maggie Prokovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maggie Prokovich was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.