KATARINA PROKOPOVA MD
NPI 1366479875
Pediatrics in Old Town, ME

Q: What is Katarina Prokopova's NPI number?

The NPI number for Katarina Prokopova is 1366479875. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Katarina Prokopova's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 28, 2006PECOS Enrolled

242 BRUNSWICK ST, OLD TOWN, ME 04468(207) 827-6128(207) 827-6605 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Katarina Prokopova Md NPPES

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

KATARINA PROKOPOVA MD (NPI 1366479875) is an individual pediatrics provider in Old Town, Maine, licensed in Maine (MD16221) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366479875

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKATARINA PROKOPOVACredential: MD

Location Address242 BRUNSWICK STOld Town, ME 04468-1613

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247 · Fax (207) 947-0435

Phone(207) 827-6128

Fax(207) 827-6605

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateMay 5, 2021

NPPES CertifiedMay 5, 2021

✔ NPI 1366479875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in ME · MD16221

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

242 BRUNSWICK ST, Old Town, ME 04468

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Other Identifiers 1

Medicaid305150099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katarina Prokopova Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 04468 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

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.

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.

TERRY L MELANSON LCSW

Social Worker (Clinical)