KIRK D PRODZINSKI DO
NPI 1245206648
Family Medicine in Emmett, ID

Q: What is Kirk Prodzinski's NPI number?

The NPI number for Kirk Prodzinski is 1245206648. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Q: What is Kirk Prodzinski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kirk Prodzinski was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 24, 2006PECOS Enrolled

207 E 12TH ST, EMMETT, ID 83617(208) 365-1065(208) 365-1068 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Jul 21, 2021, Aug 7, 2020 and 2 more (5 updates tracked since 2016).

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About Kirk D Prodzinski Do NPPES

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

KIRK D PRODZINSKI DO (NPI 1245206648) is an individual family medicine provider in Emmett, Idaho, licensed in Idaho (O-0600) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245206648

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKIRK D PRODZINSKICredential: DO

Location Address207 E 12TH STEmmett, ID 83617-3626

Mailing Address1441 Ne 10th AvePayette, ID 83661-5420 · (208) 642-9376 · Fax (208) 642-9598

Phone(208) 365-1065

Fax(208) 365-1068

Sole ProprietorNo

Enumeration DateFebruary 24, 2006

Last NPPES UpdateApril 16, 20245 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1245206648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · O-0600✔ Licensed in WI · 41285✔ Licensed in MN · 42041✔ Licensed in IA · 04555

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

207 E 12TH ST, Emmett, ID 83617

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirk D Prodzinski Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

18 services15 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.

15 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83617 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Other Providers at the Same Location NPPES 11

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

RYAN ATWOOD PA-C

Physician Assistant