LORI PROK MD
NPI 1356497978
Dermatology - Pediatric Dermatology in Aurora, CO

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lori Prok Md NPPES

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

LORI PROK MD (NPI 1356497978) is an individual pediatric dermatology provider in Aurora, Colorado, licensed in Colorado (DR.0043918) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2001).

NPPES Registry Identity

NPI1356497978
Entity TypeIndividualFemale
Primary Taxonomy207NP0225X
Provider Legal NameLORI PROKCredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2001
Enumeration DateJanuary 26, 2007
Last NPPES UpdateNovember 7, 2018
NPI 1356497978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License Licensed in CO · DR.0043918
Definition

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Also ListedDermatologyTaxonomy 207N00000X · License 43918 (CO)
13123 E 16TH AVE, Aurora, CO 80045

Other Identifiers 1

Medicaid98738569CO

Accepted 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

Lori Prok 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 ID5395810949
PECOS Enrollment IDI20080818000323
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

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 Lori Prok's NPI number?

The NPI number for Lori Prok is 1356497978. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Lori Prok located?

Lori Prok practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Lori Prok's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Lori Prok enrolled in Medicare?

Yes. Lori Prok 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.

What insurance does Lori Prok accept?

Health plans from Medica and UnitedHealthcare list Lori Prok 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.

When was this NPI record last updated?

The NPPES record for Lori Prok was last updated on November 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.