DR. MATTHEW GREGORY PROHASKA JR. M.D.
NPI 1164740627
Orthopaedic Surgery in St Johnsbury, VT

Q: What is Matthew Prohaska's NPI number?

The NPI number for Matthew Prohaska is 1164740627. It was assigned to this individual provider in the NPPES registry on May 8, 2010.

Q: What is Matthew Prohaska's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Prohaska was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 08, 2010PECOS EnrolledAccepts Medicare Assignment

1315 HOSPITAL DR, NVRH ORTHOPAEDICS, ST JOHNSBURY, VT 05819(802) 748-8141 Get Directions Write a Review

NPPES record last updated: July 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Matthew Gregory Prohaska Jr. M.d. NPPES

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

DR. MATTHEW GREGORY PROHASKA JR. M.D. (NPI 1164740627) is an individual orthopaedic surgery provider in St Johnsbury, Vermont, licensed in Vermont (042-0013063) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2010).

NPPES Registry Identity

NPI1164740627

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MATTHEW GREGORY PROHASKA JR.Credential: M.D.

Location Address1315 HOSPITAL DR, NVRH ORTHOPAEDICSSt Johnsbury, VT 05819-9210

Mailing AddressPo Box 905, Nvrh OrthopaedicsSt Johnsbury, VT 05819-0905 · (802) 748-8141

Phone(802) 748-8141

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2010

Enumeration DateMay 8, 2010

Last NPPES UpdateJuly 6, 2015

✔ NPI 1164740627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in VT · 042-0013063

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1315 HOSPITAL DR, St Johnsbury, VT 05819

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Other Identifiers 3

Medicaid3100897NH

Medicaid1024556VT

Medicare PINY400223069VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Dr. Matthew Gregory Prohaska Jr. M.d. 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 ID1355653734

PECOS Enrollment IDI20150629001759

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.

Hospital Affiliations CMS Care Compare 3

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300003

Location1 Medical Center DriveLebanon, NH 03756 · Grafton County

Emergency services Birthing friendly

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471303

Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County

Emergency services Birthing friendly

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471304

Location189 Prouty DriveNewport, VT 05855 · Orleans County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05819 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier35 claims35 services$71.63 avg. paid by Medicare

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

2 suppliers24 claims469 services$21.99 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier16 claims17 services$34.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KATHERINE A. HARRIS LICSW

Social Worker (Clinical)