DR. DAVID PAUL PROUGH MD
NPI 1366465528
Surgery in Jackson, MI
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
Specialties & Licenses
Other Identifiers 3
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
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.
Medicare Billing Reassignment
Medicare enrollment records show David Prough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MI 49201
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: W.A. Foote Memorial Hospital
- 474 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 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.
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, MIPhysician 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.
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.
JACKSON, MI 49201
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.
Which organization bills Medicare for David Prough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Prough reassigns Medicare benefits to Wa Foote Memorial Hospital (Jackson, MI). The 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 David Prough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. David Paul Prough, MD · NPI 1366465528
Surgery physician in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1366465528 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4301407188 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1100 E MICHIGAN AVE, SUITE 300, Jackson, MI 49201
- **Phone:** (517) 782-5857 · **Fax:** (517) 784-3237
## 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:** Wa Foote Memorial Hospital (NPI 1457563223, Jackson, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** June 9, 2008
- **Other identifiers:** Medicaid 102754330 (MI); Medicare UPIN E90775; Medicare ID-Type Unspecified 0380056
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Source: [NPI Profile](https://npiprofile.com/npi/1366465528) · Data from the CMS NPPES public registry.