RONALD H PROKOPIUS MD
NPI 1295732097
Hospitalist in Blue Hill, ME

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
94.71/100
CMS Quality Rating
57 WATER STREET, BLUE HILL, ME 04614(207) 374-3933(207) 374-3985 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ronald H Prokopius Md NPPES

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

RONALD H PROKOPIUS MD (NPI 1295732097) is an individual hospitalist provider in Blue Hill, Maine, licensed in Maine (MD16554) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (2000).

NPPES Registry Identity

NPI1295732097
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRONALD H PROKOPIUSCredential: MD
Location Address57 WATER STREETBlue Hill, ME 04614
Mailing Address57 Water StreetBlue Hill, ME 04614 · (207) 374-3933 · Fax (207) 374-3985
Fax(207) 374-3985
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2000
Enumeration DateJuly 7, 2005
Last NPPES UpdateOctober 5, 2012
NPI 1295732097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in ME · MD16554
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
57 WATER STREET, Blue Hill, ME 04614

Other Identifiers 5

Medicaid411910099ME
Medicare PINME0719ME
OtherME071901ME · Mount Desert Island Hosp Medicare Ptan
Medicare UPINI10947
Medicare PINME071903ME

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

Ronald H Prokopius 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.

PECOS PAC ID1759353956
PECOS Enrollment IDI20040809000883
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
411 services140 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
182 services84 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
152 services138 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
124 services119 patients

Hospital Affiliations CMS Care Compare

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04614 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

94.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.2
Promoting Interoperability91
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers43 claims43 services$21.33 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier15 claims138 services$1.73 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
2 suppliers26 claims26 services$4.56 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers35 claims38 services$8.35 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier15 claims30 services$5.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims23 services$71.60 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 16

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

General Acute Care Hospital (Critical Access)
57 WATER STREET
BLUE HILL, ME 04614
General Acute Care Hospital (Critical Access)
57 WATER STREET
BLUE HILL, ME 04614
Family Medicine
57 WATER STREET
BLUE HILL, ME 04614
Emergency Medicine
57 WATER STREET
BLUE HILL, ME 04614
Emergency Medicine
57 WATER STREET
BLUE HILL, ME 04614
Internal Medicine
57 WATER STREET
BLUE HILL, ME 04614
Family Medicine
57 WATER STREET
BLUE HILL, ME 04614
Emergency Medicine
57 WATER STREET
BLUE HILL, ME 04614

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 Ronald Prokopius's NPI number?

The NPI number for Ronald Prokopius is 1295732097. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Ronald Prokopius located?

Ronald Prokopius practices at 57 Water Street, Blue Hill, ME 04614. The listed phone number is (207) 374-3933.

What is Ronald Prokopius's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ronald Prokopius enrolled in Medicare?

Yes. Ronald Prokopius 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.

Is Ronald Prokopius affiliated with any hospitals?

According to CMS data, Ronald Prokopius is affiliated with York Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Prokopius was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.