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THOMAS RICHARD PROSTKO M.D.
NPI 1417928243
Internal Medicine - Gastroenterology in Easley, SC

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
403 HILLCREST DR, SUITE A, EASLEY, SC 29640(864) 442-0771(864) 442-0774 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Richard Prostko M.d. NPPES

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

THOMAS RICHARD PROSTKO M.D. (NPI 1417928243) is an individual gastroenterology provider in Easley, South Carolina, licensed in South Carolina (13970) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Cannon Memorial Hospital, and is a graduate of Tufts University School Of Medicine (1983).

NPPES Registry Identity

NPI1417928243
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTHOMAS RICHARD PROSTKOCredential: M.D.
Location Address403 HILLCREST DR, SUITE AEasley, SC 29640-1207
Mailing Address403 Hillcrest Dr, Suite AEasley, SC 29640-1207 · (864) 442-0771
Phone(864) 442-0771
Fax(864) 442-0774
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1983
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJuly 23, 2007
✔ NPI 1417928243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in SC · 13970
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
403 HILLCREST DR, Easley, SC 29640
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Other Identifiers 3

MedicaidGP3506SC
Medicare UPINB91507SC
Medicare PIN7349SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Thomas Richard Prostko M.d. 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 ID9032187380
PECOS Enrollment IDI20080925000532
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

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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Cannon Memorial Hospital

Acute Care Hospitals · Pickens, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420011
Location123 W G Acker DrivePickens, SC 29671 · Pickens County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29640 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 8

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

SMITH THERAPY SERVICES
Clinic/Center (Physical Therapy)
403 HILLCREST DR, SUITE A
EASLEY, SC 29640
Pickens County (864) 859-0778
JOSHUA ALAN MOROWITZ MD
Surgery (Vascular Surgery)
403 HILLCREST DR
EASLEY, SC 29640
Pickens County (864) 855-5104
HERBERT R SQUIRES M.D.
Obstetrics & Gynecology
403 HILLCREST DR, SUITE A
EASLEY, SC 29640
Pickens County (864) 855-2737
DR. JOHNNY H COX MD
Surgery
403 HILLCREST DR, SUITE C
EASLEY, SC 29640
Pickens County (864) 855-1644
FOOTHILLS UROLOGY
Specialist
403 HILLCREST DR, SUITE A
EASLEY, SC 29640
Pickens County (864) 855-6811
DR. JOHN MOVIUS WARREN JR. M.D.
Obstetrics & Gynecology (Gynecology)
403 HILLCREST DR, SUITE A
EASLEY, SC 29640
Pickens County (864) 855-2737
THOMAS R PROSTKO
Clinic/Center (Medical Specialty)
403 HILLCREST DR, SUITE A
EASLEY, SC 29640
Pickens County (864) 442-0771
PALMETTO HEALTH
Surgery
403 HILLCREST DR, SUITE C
EASLEY, SC 29640
Pickens County (864) 855-1644

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 Thomas Prostko's NPI number?

The NPI number for Thomas Prostko is 1417928243. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Thomas Prostko located?

Thomas Prostko practices at 403 Hillcrest Dr Suite A, Easley, SC 29640. The listed phone number is (864) 442-0771.

What is Thomas Prostko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Prostko enrolled in Medicare?

Yes. Thomas Prostko 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 Thomas Prostko accept?

Health plans from First Choice Next list Thomas Prostko 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 Thomas Prostko affiliated with any hospitals?

According to CMS data, Thomas Prostko is affiliated with Cannon Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Prostko was last updated on July 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.