RICHARD PROKOPCHAK MD
NPI 1083685911
Internal Medicine - Interventional Cardiology in Salem, VA

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
76.65/100
CMS Quality Rating
2850 KEAGY RD, SALEM, VA 24153(540) 375-9375(540) 375-9376 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Prokopchak Md NPPES

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

RICHARD PROKOPCHAK MD (NPI 1083685911) is an individual interventional cardiology provider in Salem, Virginia, licensed in Virginia (0101047984) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Georgetown University School Of Medicine (1984).

NPPES Registry Identity

NPI1083685911
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRICHARD PROKOPCHAKCredential: MD
Location Address2850 KEAGY RDSalem, VA 24153-7458
Mailing Address2850 Keagy RdSalem, VA 24153-7458 · (540) 375-9375 · Fax (540) 375-9376
Fax(540) 375-9376
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1984
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 15, 2019
NPI 1083685911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in VA · 0101047984
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 0101047984 (VA)
2850 KEAGY RD, Salem, VA 24153

Other Identifiers 2

Medicaid006096891VA
OtherP00290780VA · Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Richard Prokopchak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436179884
PECOS Enrollment IDI20051130000117
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.

Areas of Expertise CMS Part B claims 38

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
3,123 services1,404 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
693 services670 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
620 services494 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
432 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
388 services142 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
320 services318 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Lewisgale Hospital Montgomery

Acute Care Hospitals · Blacksburg, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490110
Location3700 South Main StreetBlacksburg, VA 24060 · Montgomery County
Emergency services Birthing friendly

Lewisgale Hospital Alleghany

Acute Care Hospitals · Low Moor, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490126
LocationOne Arh Lane - PO Box 7Low Moor, VA 24457 · Alleghany County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability93
Improvement Activities40
Cost28.03

Reported Quality Measures

Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
100%517 patients5/55-star benchmark: 100%
Cardiac Rehabilitation Patient Referral from an Outpatient Setting
100%50 patients5/55-star benchmark: 98%
Controlling High Blood Pressure
87%1,716 patients4/55-star benchmark: 98%
Coronary Artery Disease (CAD): Antiplatelet Therapy
100%1,001 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%6,662 patients5/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
100%159 patients5/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
100%189 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%2,939 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Medical)
2850 KEAGY RD
SALEM, VA 24153
Internal Medicine (Cardiovascular Disease)
2850 KEAGY RD
SALEM, VA 24153
Obstetrics & Gynecology
2850 KEAGY RD
SALEM, VA 24153

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 Richard Prokopchak's NPI number?

The NPI number for Richard Prokopchak is 1083685911. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Richard Prokopchak located?

Richard Prokopchak practices at 2850 Keagy Rd, Salem, VA 24153. The listed phone number is (540) 375-9375.

What is Richard Prokopchak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Richard Prokopchak enrolled in Medicare?

Yes. Richard Prokopchak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Richard Prokopchak affiliated with any hospitals?

According to CMS data, Richard Prokopchak is affiliated with Carilion Medical Center, Lewisgale Medical Center, Lewisgale Hospital Montgomery and Lewisgale Hospital Alleghany.

When was this NPI record last updated?

The NPPES record for Richard Prokopchak was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.