DR. DAVID PAUL PROUGH MD
NPI 1366465528
Surgery in Jackson, MI

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
1100 E MICHIGAN AVE, SUITE 300, JACKSON, MI 49201(517) 782-5857(517) 784-3237 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Paul Prough Md NPPES

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

DR. DAVID PAUL PROUGH MD (NPI 1366465528) is an individual surgery provider in Jackson, Michigan, licensed in Michigan (4301407188) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Wayne State University School Of Medicine (1986).

NPPES Registry Identity

NPI1366465528
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID PAUL PROUGHCredential: MD
Location Address1100 E MICHIGAN AVE, SUITE 300Jackson, MI 49201
Mailing Address1100 E Michigan Ave, Suite 300Jackson, MI 49201 · (517) 782-5857 · Fax (517) 784-3237
Fax(517) 784-3237
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1986
Enumeration DateJuly 26, 2006
Last NPPES UpdateJune 9, 2008
NPI 1366465528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301407188
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1100 E MICHIGAN AVE, Jackson, MI 49201

Other Identifiers 3

Medicaid102754330MI
Medicare UPINE90775
Medicare ID-Type Unspecified0380056

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

Dr. David Paul Prough 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 ID3577458595
PECOS Enrollment IDI20040218000880
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.

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.
103 services83 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
99 services99 patients
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.
19 services16 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Nurse Practitioner (Acute Care)
1100 E MICHIGAN AVE
JACKSON, MI 49201
Obstetrics & Gynecology
1100 E MICHIGAN AVE, STE 205
JACKSON, MI 49201
Internal Medicine (Infectious Disease)
1100 E MICHIGAN AVE, SUITE 305
JACKSON, MI 49201
Pharmacist
1100 E MICHIGAN AVE
JACKSON, MI 49201
Surgery (Vascular Surgery)
1100 E MICHIGAN AVE, SUITE 310
JACKSON, MI 49201
Internal Medicine (Hematology & Oncology)
1100 E MICHIGAN AVE, STE 201
JACKSON, MI 49201
Physician Assistant
1100 E MICHIGAN AVE, STE 201
JACKSON, MI 49201
Pharmacist
1100 E MICHIGAN AVE
JACKSON, MI 49201

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 David Prough's NPI number?

The NPI number for David Prough is 1366465528. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is David Prough located?

David Prough practices at 1100 E Michigan Ave Suite 300, Jackson, MI 49201. The listed phone number is (517) 782-5857.

What is David Prough's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Prough enrolled in Medicare?

Yes. David Prough 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 David Prough accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list David Prough 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 David Prough affiliated with any hospitals?

According to CMS data, David Prough is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for David Prough was last updated on June 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.