MONIKA M PROST MD
NPI 1265409122
Radiology - Diagnostic Radiology in Jefferson City, MO
About Monika M Prost Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONIKA M PROST MD (NPI 1265409122) is an individual diagnostic radiology provider in Jefferson City, Missouri, licensed in Missouri (107116) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
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
Monika M Prost 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.
Medicare Billing Reassignments
10Medicare enrollment records show Monika Prost reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, MO 63090
- Reassigned Medicare billing, Missouri enrollment
- 178 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 241 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 326 clinicians in this Medicare group
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 299 clinicians in this Medicare group
Saint Louis, MO 63108
- Reassigned Medicare billing, Illinois enrollment
- 530 clinicians in this Medicare group
Keokuk, IA 52632
- Reassigned Medicare billing, Iowa enrollment
- 70 clinicians in this Medicare group
West Union, IA 52175
- Reassigned Medicare billing, Iowa enrollment
- 155 clinicians in this Medicare group
Rockford, IL 61103
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Janesville, WI 53548
- Reassigned Medicare billing, Illinois enrollment
- 671 clinicians in this Medicare group
Sioux City, IA 51104
- Reassigned Medicare billing, Iowa enrollment
- 281 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.
Areas of Expertise CMS Part B claims 15
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Graham Hospital Association
Acute Care Hospitals · Canton, ILMemorial Hospital
Acute Care Hospitals · Belleville, ILJavon Bea Hospital
Acute Care Hospitals · Rockford, ILMercyhealth Hospital & Physician Clinic-Crystal La
Acute Care Hospitals · Crystal Lake, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65109 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
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 Monika Prost's NPI number?
The NPI number for Monika Prost is 1265409122. It was assigned to this individual provider in the NPPES registry on March 1, 2006.
Where is Monika Prost located?
Monika Prost practices at 1241 W Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (573) 635-5264.
What is Monika Prost's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Monika Prost enrolled in Medicare?
Yes. Monika Prost 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 Monika Prost's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monika Prost reassigns Medicare benefits to 10 organizations: Mercy Hospitals East Communities (Washington, MO), Mercy Hospitals East Communities (Saint Louis, MO), Mercy Clinic Adult Hospitalists - St. Louis, LLC (Saint Louis, MO), Mercy Clinic Adult Hospitalists- Jefferson, LLC (Festus, MO), Washington University Physicians In Illinois, Inc (Saint Louis, MO) and 5 more organizations, listed in the Medicare section above. 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 Monika Prost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monika Prost accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Priority Health list Monika Prost 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 Monika Prost affiliated with any hospitals?
According to CMS data, Monika Prost is affiliated with Graham Hospital Association, Memorial Hospital, Javon Bea Hospital and Mercyhealth Hospital & Physician Clinic-Crystal La.
When was this NPI record last updated?
The NPPES record for Monika Prost was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Monika M Prost, MD · NPI 1265409122
Diagnostic Radiology physician in Jefferson City, Missouri. Individual provider, active in the CMS NPPES registry since March 1, 2006.
## Identity
- **NPI:** 1265409122 (Entity type: Individual)
- **Enumerated:** March 1, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 107116 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1241 W STADIUM BLVD, Jefferson City, MO 65109-6023
- **Phone:** (573) 635-5264 · **Fax:** (573) 636-9756
## 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:** 10 organizations under Medicare reassignment (form CMS-855R): Mercy Hospitals East Communities (NPI 1285664177, Washington, MO); Mercy Hospitals East Communities (NPI 1427098169, Saint Louis, MO); Mercy Clinic Adult Hospitalists - St. Louis, LLC (NPI 1841235108, Saint Louis, MO); Mercy Clinic Adult Hospitalists- Jefferson, LLC (NPI 1083052492, Festus, MO); Washington University Physicians In Illinois, Inc (NPI 1457203135, Saint Louis, MO); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** January 10, 2023
- **Other identifiers:** Medicaid 208700302 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1265409122) · Data from the CMS NPPES public registry.