CRAIG P PROKOS M.D.
NPI 1205838166
Internal Medicine in Jupiter, FL
About Craig P Prokos M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRAIG P PROKOS M.D. (NPI 1205838166) is an individual internal medicine provider in Jupiter, Florida, licensed in Florida (ME32958) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1977).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Craig P Prokos 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.
Medicare Billing Reassignments
3Medicare enrollment records show Craig Prokos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roanoke, VA 24011
- Reassigned Medicare billing, Virginia enrollment
- 194 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, Virginia enrollment
- 46 clinicians in this Medicare group
Chillicothe, OH 45601
- Reassigned Medicare billing, Virginia enrollment
- 210 clinicians in this Medicare group
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 33458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JUPITER, FL 33458
JUPITER, FL 33458
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 Craig Prokos's NPI number?
The NPI number for Craig Prokos is 1205838166. It was assigned to this individual provider in the NPPES registry on August 11, 2005.
Where is Craig Prokos located?
Craig Prokos practices at 136 Jupiter Lakes Blvd, Jupiter, FL 33458. The listed phone number is (561) 746-3030.
What is Craig Prokos's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Craig Prokos enrolled in Medicare?
Yes. Craig Prokos 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.
Which organizations bill Medicare for Craig Prokos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Craig Prokos reassigns Medicare benefits to 3 organizations: Universal Health Corporation (Roanoke, VA), Provider Partners Care Management LP (Columbia, MD) and Pai Participant 1 LLC (Chillicothe, OH). Each 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 Craig Prokos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Craig Prokos was last updated on April 8, 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.
# Craig P Prokos, M.D. · NPI 1205838166
Internal Medicine physician in Jupiter, Florida. Individual provider, active in the CMS NPPES registry since August 11, 2005.
## Identity
- **NPI:** 1205838166 (Entity type: Individual)
- **Enumerated:** August 11, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME32958 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 136 JUPITER LAKES BLVD, Jupiter, FL 33458-7180
- **Phone:** (561) 746-3030 · **Fax:** (561) 746-0771
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Universal Health Corporation (NPI 1407117625, Roanoke, VA); Provider Partners Care Management LP (NPI 1013348028, Columbia, MD); Pai Participant 1 LLC (NPI 1093371312, Chillicothe, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 1977
## Record status
- **NPPES last updated:** April 8, 2015
- **Other identifiers:** Medicare UPIN D21460 (FL); Medicare ID-Type Unspecified 30174 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1205838166) · Data from the CMS NPPES public registry.