DR. SEBASTIAN PROKOP MD
NPI 1104559855
Family Medicine in Gloucester, VA
About Dr. Sebastian Prokop Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SEBASTIAN PROKOP MD (NPI 1104559855) is an individual family medicine provider in Gloucester, Virginia, licensed in Pennsylvania (MT227092) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Dr. Sebastian Prokop 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sentara Williamsburg Regional Medical Center
Acute Care Hospitals · Williamsburg, VARiverside Walter Reed Hospital
Acute Care Hospitals · Gloucester, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Sebastian Prokop's NPI number?
The NPI number for Sebastian Prokop is 1104559855. It was assigned to this individual provider in the NPPES registry on July 8, 2022.
Where is Sebastian Prokop located?
Sebastian Prokop practices at 5659 Parkway Dr Ste 210, Gloucester, VA 23061. The listed phone number is (804) 210-1025.
What is Sebastian Prokop's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sebastian Prokop enrolled in Medicare?
Yes. Sebastian Prokop 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 Sebastian Prokop affiliated with any hospitals?
According to CMS data, Sebastian Prokop is affiliated with Sentara Williamsburg Regional Medical Center and Riverside Walter Reed Hospital.
When was this NPI record last updated?
The NPPES record for Sebastian Prokop was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Sebastian Prokop, MD · NPI 1104559855
Family Medicine physician in Gloucester, Virginia. Individual provider, active in the CMS NPPES registry since July 8, 2022.
## Identity
- **NPI:** 1104559855 (Entity type: Individual)
- **Enumerated:** July 8, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MT227092 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5659 PARKWAY DR STE 210, Gloucester, VA 23061-3792
- **Phone:** (804) 210-1025
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104559855) · Data from the CMS NPPES public registry.