PROSPECT FAMILY MEDICINE, INC.
NPI 1487895967
Clinic/Center - Primary Care in Prospect, OH
About Prospect Family Medicine, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROSPECT FAMILY MEDICINE, INC. (NPI 1487895967) is a healthcare organization registered as a primary care in Prospect, Ohio and active in the NPI registry since March 2009. The organization holds a CLIA Microscopy certificate valid through May 24, 2028 and lists Mark John Piacentini, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prospect Family Medicine, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Prospect Family Medicine, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0954041
Prospect Family Medicine · Prospect, OHFrequently 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 Prospect Family Medicine, Inc.'s NPI number?
The NPI number for Prospect Family Medicine, Inc. is 1487895967. It was assigned to this organization in the NPPES registry on March 13, 2009.
Where is Prospect Family Medicine, Inc. located?
Prospect Family Medicine, Inc. is located at 102 Water Street, Prospect, OH 43342. The listed phone number is (740) 494-2624.
What is Prospect Family Medicine, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Prospect Family Medicine, Inc. enrolled in Medicare?
Yes. Prospect Family Medicine, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prospect Family Medicine, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Prospect Family Medicine, Inc., in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prospect Family Medicine, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0954041) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Prospect Family Medicine, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Prospect Family Medicine, Inc. 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 Prospect Family Medicine, Inc. was last updated on May 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Prospect Family Medicine, Inc. · NPI 1487895967
Primary Care organization in Prospect, Ohio. Organization record, active in the CMS NPPES registry since March 13, 2009.
## Identity
- **NPI:** 1487895967 (Entity type: Organization)
- **Enumerated:** March 13, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Mark Piacentini, PRESIDENT
## Practice location
- **Address:** 102 WATER STREET, Prospect, OH 43342
- **Phone:** (740) 494-2624 · **Fax:** (740) 494-9013
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2013
- **Other identifiers:** Medicaid 0669174 (OH); Medicare UPIN A16905 (OH); Medicare PIN 0598667 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487895967) · Data from the CMS NPPES public registry.