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JULIA K PROHASKA PA
NPI 1144431354
Physician Assistant in Louisville, KY

Active since May 28, 2007PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
4402 CHURCHMAN AVE, SUITE 300, LOUISVILLE, KY 40215(502) 363-0588(502) 363-0972 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julia K Prohaska Pa NPPES

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

JULIA K PROHASKA PA (NPI 1144431354) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA246) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1144431354
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJULIA K PROHASKACredential: PA
Location Address4402 CHURCHMAN AVE, SUITE 300Louisville, KY 40215-1190
Mailing Address100 E Liberty St, Ste 800Louisville, KY 40202-1428 · (502) 363-0588 · Fax (502) 363-0972
Phone(502) 363-0588
Fax(502) 363-0972
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 28, 2007
Last NPPES UpdateJune 29, 2018
✔ NPI 1144431354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA246
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4402 CHURCHMAN AVE, Louisville, KY 40215
Open in Google Maps ↗

Other Identifiers 3

OtherP00752643KY · Medicare Rr
OtherPA246KY · Ky Med. License
Medicaid7100089540KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Julia K Prohaska Pa 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 ID8729136643
PECOS Enrollment IDI20090504000417
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 10

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,008 services14 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
786 services77 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
180 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
144 services84 patients
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.
75 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 20

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

TRICIA L. FLAKE ARNP
Nurse Practitioner (Family)
4402 CHURCHMAN AVE, SUITE 410
LOUISVILLE, KY 40215
Jefferson County (502) 367-6322
DR. JOHN N OLSOFKA M.D.
Surgery
4402 CHURCHMAN AVE, STE 202
LOUISVILLE, KY 40215
Jefferson County (502) 366-1090
DR. JOSEPH CORBETT MARSHALL MD
Surgery
4402 CHURCHMAN AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-6075
DR. ARUL VERGHIS MD
Anesthesiology (Pain Medicine)
4402 CHURCHMAN AVE, SUITE 302
LOUISVILLE, KY 40215
Jefferson County (502) 366-7317
KEVIN L HARRELD MD
Orthopaedic Surgery
4402 CHURCHMAN AVE, SUITE 300
LOUISVILLE, KY 40215
Jefferson County (502) 363-0588
LOUISVILLE & SO INDIANA PULMONARY CARE PLC
Internal Medicine (Pulmonary Disease)
4402 CHURCHMAN AVE, SUITE 409
LOUISVILLE, KY 40215
Jefferson County (502) 368-9590
RONALD PETER MOYER MD
Allergy & Immunology
4402 CHURCHMAN AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-9935
DR. JOEL PHILIP GARMON M.D.
Surgery
4402 CHURCHMAN AVE, STE 202
LOUISVILLE, KY 40215
Jefferson County (502) 366-1090

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 Julia Prohaska's NPI number?

The NPI number for Julia Prohaska is 1144431354. It was assigned to this individual provider in the NPPES registry on May 28, 2007.

Where is Julia Prohaska located?

Julia Prohaska practices at 4402 Churchman Ave Suite 300, Louisville, KY 40215. The listed phone number is (502) 363-0588.

What is Julia Prohaska's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Julia Prohaska enrolled in Medicare?

Yes. Julia Prohaska 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.

What insurance does Julia Prohaska accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Julia Prohaska 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.

Is Julia Prohaska affiliated with any hospitals?

According to CMS data, Julia Prohaska is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Julia Prohaska was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.